| The Medicare Project a consumer's guide to North Dakota Medicare programs, Medicare Part D Prescription Drug Reimbursement and Coverage topics: Medicare Prescription Drug Help, Medicare coverage, Medicare Advantage prescription drug programs, supplement insurance, what is Medicare? help |
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North Dakota help & articles |
Who Offers North Dakota Medicare Prescription Drug Plans? |
The Medicare Project (Home) | North Dakota MEDICAID help |
North Dakota Medicare, North Dakota Medicare Prescription Drug Coverage
Answers and information about Medicare, prescription drug coverage and health insurance
involves searching through hundreds of pages at government and private websites. To help seniors and caregivers get
started in their search, our editors have compiled this digest of North Dakota Medicare help and information
resources. |
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Medicare Web Page: Medicare Supplement Insurance source:North Dakota Insurance Department languages: English from the web page: "...Medicare supplement insurance (also referred to as Med Sup or Medigap insurance) is private insurance that helps pay health care expenses that Medicare covers in part or not at all. Medicare supplement insurance can provide coverage for Medicare deductibles, co-insurance amounts and even some expenses not eligible under Medicare..." more from North Dakota Insurance Department: Medicare Web Page: Approved ND Medicare Supplement Plans languages: English Medicare Web Page: Medicare Advantage Plans languages: English Medicare Advantage plans are available from private companies that contract with the Centers for Medicare and Medicaid Services to provide Medicare benefits to enrollees. The company offering a Medicare Advantage plan combines the health care and financing. The plans must provide all benefits provided by Medicare. They may provide additional benefits. Medicare Publication: Medicare Advantage Plans - What you need to know before you buy. 4 pages; languages: English from the publication: Medicare Advantage (MA) plans are available from private companies that contract with the Centers for Medicare and Medicaid Services (CMS) to provide Medicare benefits to enrollees. The company offering a Medicare Advantage plan combines the health care and financing. North Dakota Medicare Rural Hospital Flexibility Program source: The University of North Dakota, Center for Rural Health languages: English from the web page: "The North Dakota Medicare Rural Hospital Flexibility (Flex) program is a state based partnership that works with and assists rural hospitals to stabilize and sustain their local health care infrastructure. ..." Medicare Prescription Drug Coverage - Part D source:North Dakota Department of Human Services languages: English from the web page: ...TCoverage under the new federal Medicare Prescription Drug Program began January 1, 2006. If you or a loved one participates in both MEDICARE and Medicaid ("dually eligible individuals") and received prescriptions through Medicaid before January 1, you should now be receiving your medications through the federal government's new MEDICARE Prescription Drug Program. ... " Find a Free or Discounted Drug Program: source: Prescription Connection for North Dakota languages: English from the web page: "...The first step in determining what patient assistance programs you may be eligible for is to select your medicines..." Prescription Drug Guide source: ND.gov - State of North Dakota languages: English from the web page: "...Prescription drugs play an important role in good health care. North Dakota citizens should have the ability to choose to purchase prescription drugs from safe sources at the most competitive rates available. On this site, the State of North Dakota offers three options that may help you find the prescription drugs you need at the lowest available cost..." North Dakota Medicare Drug Plan Ratings source:AARP file size:5 pg. languages: English "...This AARP rating tool contains information about “stand-alone” Medicare plans in your state that cover only prescription drugs...." more from AARP: Medicare Web Page: North Dakota: Medicare Rx Fact Sheet languages: English from the web page: "North Dakota already runs two programs that help people with limited incomes pay for drugs and a third program that helps pay for other Medicare-related costs like premiums. These programs are: Medicaid, HIV Drug Assistance Program (HDAP), and Medicare Savings Programs..." North Dakota: Medicare Prescription Drug Plan (PDP) Premiums, 2007 source:Kaiser Family Foundation / statehealthfacts.org languages: English from the web page: "...Beneficiaries can join a prescription drug plan (PDP) for drug coverage only and get their other Medicare benefits through the fee-for-service program, as the majority of people with Medicare currently do. Alternatively they can join a Medicare Advantage (MA) plan..." The Medicare Prescription Drug Benefit (Part D) source:Medicare Rights Center languages: English from the web page:...(Part D) covers most outpatient prescription drugs (the kind you get at the pharmacy or through mail-order). Unlike Medicare health benefits, though, Part D is only offered through private plans..." Your Medicare Rights and Protections source: U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, Centers for Medicare & Medicaid Services 44pp languages: English Fairly detailed explanations and descriptions about your Medicare rights and protections. Medicaid brochure or publication: A Consumer's Guide to Getting and Keeping Health Insurance in North Dakota source:healthinsuranceinfo.net file size: 38pg. languages: English from GEORGETOWN UNIVERSITY HEALTH POLICY INSTITUTE. from the publication: "...As a North Dakota resident, you have rights under federal and state law that will protect you when you seek to buy, keep, or switch your health insurance, even if you have a serious health condition. This guide describes your protections as a North Dakota resident..." State Pharmacy Listing - Aetna Medicare RxSM Plans - Iowa / Minnesota / Montana / North Dakota / Nebraska / South Dakota / Wyoming Aetna Medicare Your Medicare Rights and Protections source: U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, Centers for Medicare & Medicaid Services 44pp languages: English Fairly detailed explanations and descriptions about your Medicare rights and protections. Medicare & You 2007 (North Dakota specific version) source: U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, Centers for Medicare & Medicaid Services 152pp languages: English and Spanish from www.medicare.gov: "Medicare & You 2007... contains important information about what’s new, health plans, prescription drug plans, and rights and protections to help people with Medicare review their coverage options and prepare to enroll in a new plan if they choose. These files are ... the printed version that people with Medicare will get in the mail this fall. Plan information contained in each book may change after printing." Landscape: 2007 North Dakotah Stand-Alone Prescription Drug Plans source:CENTERS FOR MEDICARE & MEDICAID SERVICES, U.S. Department of Health and Human Services file size:3 pg. languages: English date:2007 North Dakota 2007 Medicare Part D Stand-Alone Prescription Drug Plans. Data as of September 12, 2006. Includes all contracts/plans regardless of 2007 approval status. Employer sponsored plans (800 series) are excluded." Medicare brochure or publication: Landscape: North Dakota Medicare Advantage, Cost Plans, and Demonstrations source:CENTERS FOR MEDICARE & MEDICAID SERVICES file size:16 pg. languages: English "North Dakota 2007 Medicare Advantage, Cost, and Demonstration Plans. Data as of September 29, 2006. Includes all contracts/plans regardless of 2007 approval status. PACE, Special Needs Plans, and Employer sponsored plans (800 series) are excluded." |
| 41 Prescription Drug Plans in North Dakota This list is to familiarize you with Medicare Prescription Plans available in your state, and to provide you with contact information to specific carriers. Check with the insurance provider or medicare.gov for information about coverage options, annual deductibles, approved drugs, and other limitations. Do NOT use this web page as the basis for any decision or action. (All data is subject to change. Check with medicare.gov or the insurance provider for latest data.) | ||||||
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| Plan Name and ID Numbers |
Company (w. link to plan web site) |
Coverage in the Gap About the gap |
Contact Service Phones |
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| AARP MedicareRx Plan (S5820-024) |
UnitedHealthcare | No gap coverage | Non-Members 1-888-867-5564 TTY Users should call: 1-877-730-4192 Members 1-888-867-5575 TTY Users should call: 1-888-867-5575 |
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| Advantage Freedom Plan (S5644-059) |
RxAmerica | No gap coverage | Non-Members 1-877-279-0370 Members 1-800-429-6686 TTY Users should call: 1-800-429-6686 |
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| Advantage Star Plan (S5644-080) |
RxAmerica | No gap coverage | Non-Members 1-877-279-0370 Members 1-800-429-6686 TTY Users should call: 1-800-429-6686 |
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| AdvantraRx Premier (S5674-033) |
Coventry AdvantraRx | No gap coverage | Non-Members 1-800-882-3822 TTY Users should call: 1-800-508-9548 Members 1-866-823-5178 TTY Users should call: 1-866-823-5178 |
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| AdvantraRx Premier Plus (S5674-035) |
Coventry AdvantraRx | No gap coverage | Non-Members 1-800-882-3822 TTY Users should call: 1-800-508-9548 Members 1-866-823-5178 TTY Users should call: 1-866-823-5178 |
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| AdvantraRx Value (S5674-032) |
Coventry AdvantraRx | No gap coverage | Non-Members 1-800-882-3822 TTY Users should call: 1-800-508-9548 Members 1-866-823-5178 TTY Users should call: 1-866-823-5178 |
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| Aetna Medicare Rx Essentials (S5810-059) |
Aetna Medicare | No gap coverage | Non-Members 1-800-445-1796 TTY Users should call: 1-800-628-3323 Members 1-877-238-6211 TTY Users should call: 1-877-238-6211 |
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| Aetna Medicare Rx Plus (S5810-161) |
Aetna Medicare | Generic Only | Non-Members 1-800-445-1796 TTY Users should call: 1-800-628-3323 Members 1-877-238-6211 TTY Users should call: 1-877-238-6211 |
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| Aetna Medicare Rx Premier (S5810-195) |
Aetna Medicare | Generic Only | Non-Members 1-800-445-1796 TTY Users should call: 1-800-628-3323 Members 1-877-238-6211 TTY Users should call: 1-877-238-6211 |
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| CIGNATURE Rx Complete Plan (S5617-195) |
CIGNA HealthCare | Generic Only | Non-Members 1-800-735-1459 Members 1-800-222-6700 TTY Users should call: 1-800-222-6700 |
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| CIGNATURE Rx Plus Plan (S5617-125) |
CIGNA HealthCare | No gap coverage | Non-Members 1-800-735-1459 Members 1-800-222-6700 TTY Users should call: 1-800-222-6700 |
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| CIGNATURE Rx Value Plan (S5617-123) |
CIGNA HealthCare | No gap coverage | Non-Members 1-800-735-1459 Members 1-800-222-6700 TTY Users should call: 1-800-222-6700 |
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| Community Care Rx BASIC (S5803-094) |
MEMBERHEALTH | No gap coverage | Non-Members 1-866-684-5353 TTY Users should call: 1-866-684-5351 Members 1-866-684-5353 TTY Users should call: 1-518-449-6800 |
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| Community Care Rx CHOICE (S5803-162) |
MEMBERHEALTH | No gap coverage | Non-Members 1-866-684-5353 TTY Users should call: 1-866-684-5351 Members 1-866-684-5353 TTY Users should call: 1-518-449-6800 |
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| Community Care Rx GOLD (S5803-128) |
MEMBERHEALTH | No gap coverage | Non-Members 1-866-684-5353 TTY Users should call: 1-866-684-5351 Members 1-866-684-5353 TTY Users should call: 1-518-449-6800 |
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| Fox Rx Care (S5557-003) |
FOX Insurance Company | No gap coverage | Non-Members 1-888-369-7979 TTY Users should call: 1-866-369-7373 Members 1-888-369-7373 TTY Users should call: 1-480-423-8184 ext: 5917 |
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| Humana PDP Complete S5884-053 (S5884-053) |
Humana Insurance Company | Generic and Brand | Non-Members 1-800-706-0872 TTY Users should call: 1-877-833-4486 Members 1-800-281-6918 TTY Users should call: 1-800-281-6918 |
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| Humana PDP Enhanced S5884-023 (S5884-023) |
Humana Insurance Company | No gap coverage | Non-Members 1-800-706-0872 TTY Users should call: 1-877-833-4486 Members 1-800-281-6918 TTY Users should call: 1-800-281-6918 |
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| Humana PDP Standard S5884-083 (S5884-083) |
Humana Insurance Company | No gap coverage | Non-Members 1-800-706-0872 TTY Users should call: 1-877-833-4486 Members 1-800-281-6918 TTY Users should call: 1-800-281-6918 |
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| MedicareBlue Rx Option 1 (S5743-001) |
Blue Cross Blue Shield of North Dakota | No gap coverage | Non-Members 1-866-456-3725 TTY Users should call: 1-866-456-1550 Members 1-888-832-0075 TTY Users should call: 1-888-832-0075 |
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| MedicareBlue Rx Option 2 (S5743-003) |
Blue Cross Blue Shield of North Dakota | No gap coverage | Non-Members 1-866-456-3725 TTY Users should call: 1-866-456-1550 Members 1-888-832-0075 TTY Users should call: 1-888-832-0075 |
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| MedicareBlue Rx Option 3 (S5743-004) |
Blue Cross Blue Shield of North Dakota | Generic and Brand | Non-Members 1-866-456-3725 TTY Users should call: 1-866-456-1550 Members 1-888-832-0075 TTY Users should call: 1-888-832-0075 |
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| MedicareRx Rewards (S5960-025) |
Unicare | No gap coverage | Non-Members 1-866-892-5335 Members 1-800-928-6201 TTY Users should call: 1-800-928-6201 |
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| MedicareRx Rewards Plus (S5960-061) |
Unicare | No gap coverage | Non-Members 1-866-892-5335 Members 1-800-928-6201 TTY Users should call: 1-800-928-6201 |
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| MedicareRx Rewards Premier (S5960-095) |
Unicare | Generic Only | Non-Members 1-866-892-5335 Members 1-800-928-6201 TTY Users should call: 1-800-928-6201 |
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| PacifiCare Comprehensive Plan (S5921-249) |
UnitedHealthcare | Generic Only | Non-Members 1-800-943-0399 Members 1-800-797-9794 TTY Users should call: 1-714-825-3600 |
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| PacifiCare Saver Plan (S5921-248) |
UnitedHealthcare | No gap coverage | Non-Members 1-800-943-0399 Members 1-800-797-9794 TTY Users should call: 1-714-825-3600 |
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| PacifiCare Select Plan (S5921-247) |
UnitedHealthcare | No gap coverage | Non-Members 1-800-943-0399 Members 1-800-797-9794 TTY Users should call: 1-714-825-3600 |
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| Prescription Pathway Bronze Plan Reg 25 (S5597-090) |
Pennsylvania Life Insurance Company | No gap coverage | Non-Members 1-800-765-8900 TTY Users should call: 1-866-222-3904 Members 1-800-698-8394 TTY Users should call: 1-850-432-1700 |
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| Prescription Pathway Gold Plan Reg 25 (S5597-057) |
Pennsylvania Life Insurance Company | No gap coverage | Non-Members 1-800-765-8900 TTY Users should call: 1-866-222-3904 Members 1-800-698-8394 TTY Users should call: 1-850-432-1700 |
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| Prescription Pathway Silver Plan Reg25 (S5597-189) |
Pennsylvania Life Insurance Company | No gap coverage | Non-Members 1-800-765-8900 TTY Users should call: 1-866-222-3904 Members 1-800-698-8394 TTY Users should call: 1-850-432-1700 |
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| SilverScript (S5601-050) |
SilverScript Insurance Company | No gap coverage | Non-Members 1-866-552-6106 TTY Users should call: 1-866-552-6288 Members 1-866-235-5660 TTY Users should call: 1-866-235-5660 |
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| SilverScript Plus (S5601-051) |
SilverScript Insurance Company | No gap coverage | Non-Members 1-866-235-4582 TTY Users should call: 1-866-552-6288 Members 1-866-235-5660 TTY Users should call: 1-866-235-5660 |
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| Sterling Prescription Drug Plan (S4802-030) |
Sterling Life Insurance Company | No gap coverage | Non-Members 1-888-909-1713 TTY Users should call: 1-888-858-8567 Members 1-866-865-0664 TTY Users should call: 1-866-865-0664 |
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| UA Medicare Part D Prescription Drug Cov (S5755-028) |
United American Insurance Company | No gap coverage | Non-Members 1-866-524-4169 TTY Users should call: 1-866-524-4170 Members 1-866-524-4169 TTY Users should call: 1-866-524-4169 |
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| United Medicare MedAdvance (S5820-128) |
UnitedHealthcare | No gap coverage | Non-Members 1-888-556-6657 TTY Users should call: 1-888-556-7065 Members 1-888-556-7047 TTY Users should call: 1-888-556-7047 |
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| UnitedHealthRx (S5820-139) |
UnitedHealthcare | No gap coverage | Non-Members 1-888-556-7052 TTY Users should call: 1-888-556-7053 Members 1-888-556-7060 TTY Users should call: 1-888-556-7060 |
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| WellCare Complete (S5967-094) |
WellCare | No gap coverage | Non-Members 1-888-423-5252 Members 1-888-550-5252 TTY Users should call: 1-888-550-5252 |
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| WellCare Premier (S5967-128) |
WellCare | No gap coverage | Non-Members 1-888-423-5252 Members 1-888-550-5252 TTY Users should call: 1-888-550-5252 |
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| WellCare Signature (S5967-059) |
WellCare | No gap coverage | Non-Members 1-888-423-5252 Members 1-888-550-5252 TTY Users should call: 1-888-550-5252 |
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| YOURx PLAN (S5660-025) |
Medco YOURx PLAN | No gap coverage | Non-Members 1-800-758-3605 TTY Users should call: 1-800-716-3231 Members 1-800-758-4574 TTY Users should call: 1-800-758-4574 |
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