| The Medicare Project a consumer's guide to Ohio 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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| Medicare Ohio help & articles | Who Offers Ohio Medicare Prescription Drug Plans? | The Medicare Project (Home) | Ohio MEDICAID help |
Ohio Medicare, Ohio 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 Ohio Medicare help and information
resources. |
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Medicare Web Page: Ohio Health Plan - Medicare Premium Assistance Program source:Ohio Department of Job and Family Services ONLINE languages: English "This program helps people eligible for Medicare who have limited income and assets get help in paying the cost of one or more of the following..." Medicare Supplement Insurance source:Pro Seniors, Inc. (Pro Seniors offers Ohio residents age 60 and older the advice and information they need to solve their legal and nursing home, adult care facility, and home health care problems.) 5 pages; languages: English "Medicare Supplement Insurance, also known as “MedSup” is sometimes called “MediGap” insurance..." more from Pro Seniors, Inc. : Medicare brochure or publication: Protect Your Right to Medicare: 4 pages; languages: English "...What To Do When Your Health Care is Unfairly Denied..." Medicare brochure or publication: Helping Older Persons With Medicare Part A: Protecting Your Right To Hospital Care 5 pages; languages: English Medicare brochure or publication: Part B Medicare Coverage 5 pages; languages: English RxforOhio languages: English "Find a Free or Discounted Drug Program..." Medicare Information source:Ohio Department of Aging languages: English "Medicare is the federal health insurance program for people age 65 and over (and certain disabled individuals under age 65). If you are eligible for Social Security benefits (including disability benefits), you may apply for Medicare. There are three basic parts to Medicare: hospital insurance, medical insurance and prescription drug insurance..." more from Ohio Department of Aging : Medicare Web Page: Assistance with Medicare Prescription Drug Coverage languages: English "...If you are interested in enrolling in prescription drug coverage or changing your current coverage, ask yourself these questions to assess your current coverage to determine if you should consider making changes..." Falling Short: Medicare Prescription Drug Plans Offer Meager Savings source:Families USA file size: 20 pg. languages: English from the document: "Families USA looked at Medicare prescription drug plan prices for the top20 drugs prescribed to seniors in 2004 for two regions: 1) Region 5, which covers the District of Columbia, Maryland, and Delaware; and 2) Region 14, which covers Ohio." source:Ohio Department of Insurance file size: 43Kb; 3 pg. languages: English Review of drug coverage options this fall. more from Ohio Department of Insurance: Medicare brochure or publication: Medicare Supplement Insurance, Medicare Options & New Part D 68 pages; languages: English "...This guide: • Describes how & when to apply for Medicare • Describes the new prescription drug benefit • Explains options for health plans used with Medicare • Includes sample premiums for supplements • Shows selected Medicare Advantage offerings • Lists company names and phone numbers..." Medicare brochure or publication: What is OSHIIP? (Ohio Senior Health Insurance Information Insurance Information Program) languages: English "...OSHIIP provides free health insurance information and services for people with Medicare. People covered by Medicare can get help from OSHIIP in various ways:..." Medicare Web Page: Find an OSHIIP volunteer coordinator and OSHIIP counseling site near you languages: English "...Use the drop down list or click on the map to select the Ohio county you wish to search. You will get the names of the county's coordinators..." Medicare Web Page: Prescription Drugs - Ohio Department of Insurance languages: English News, links, calendar, and other information about Ohio Prescription Drug Programs source:State Teachers Retirement System of Ohio file size: 2 pg. languages: English Instructions for enrolles in STRS Ohio plans, with specifics for people with coverage from Kaiser Permanente and Paramount Medicare. Ohio 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: Medicare Prescription Drug Coverage - Ohio: Medicare Rx Fact Sheet languages: English "Ohio already runs four programs that help people with limited incomes pay for drugs, and a fifth program that helps pay for other Medicare-related costs such as premiums..." Ohio: Medicare Hospital Payments source:Kaiser Family Foundation / statehealthfacts.org languages: English Range of Medicare Payments (Low-25th Percentile/High-75th Percentile) for Top Five Elective Inpatient Hospital Procedures, FY2005 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..." A Consumer's Guide to Getting and Keeping Health Insurance in Ohio source:healthinsuranceinfo.net file size: 41pg. languages: English from GEORGETOWN UNIVERSITY HEALTH POLICY INSTITUTE. As a resident of Ohio, 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 resident of Ohio. State Pharmacy Listing - Aetna Medicare RxSM Plans - Ohio 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. Lanscape: 2007 Ohio 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 Ohio 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: Ohio Medicare Advantage, Cost Plans, and Demonstrations source:CENTERS FOR MEDICARE & MEDICAID SERVICES file size:38 pg. languages: English "Ohio 2007 Medicare Advantage, Cost, and Demonstration Plans. Data as of September 12, 2006. Includes all contracts/plans regardless of 2007 approval status. Employer sponsored plans (800 series) are excluded." |
| 43 Prescription Drug Plans in Ohio 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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| Humana PDP Standard S5884-072 (S5884-072) |
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 Enhanced S5884-012 (S5884-012) |
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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| WellCare Signature (S5967-048) |
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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| Blue MedicareRx Value (S5596-013) |
Anthem Blue Cross and Blue Shield | No gap coverage | Non-Members 1-800-467-8065 TTY Users should call: 1-888-853-7754 Members 1-866-755-2776 TTY Users should call: 1-866-755-2776 |
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| MedicareRx Rewards (S5960-014) |
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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| AdvantraRx Value (S5670-075) |
Coventry AdvantraRx | No gap coverage | Non-Members 1-800-882-3822 TTY Users should call: 1-800-508-9548 Members 1-866-823-5177 TTY Users should call: 1-866-823-5177 |
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| AmeriHealth Advantage Rx Option l (S5783-006) |
AmeriHealth Advantage | No gap coverage | Non-Members 1-866-456-1694 TTY Users should call: 1-866-456-1683 Members 1-888-457-3007 TTY Users should call: 1-888-457-3007 |
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| PacifiCare Saver Plan (S5921-052) |
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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| First Health Premier (S5768-017) |
First Health Part D | No gap coverage | Non-Members 1-800-588-3322 TTY Users should call: 1-800-508-9548 Members 1-866-865-0662 TTY Users should call: 1-866-865-0662 |
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| AARP MedicareRx Plan (S5820-013) |
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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| Blue MedicareRx Plus (S5596-014) |
Anthem Blue Cross and Blue Shield | No gap coverage | Non-Members 1-800-467-8065 TTY Users should call: 1-888-853-7754 Members 1-866-755-2776 TTY Users should call: 1-866-755-2776 |
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| MedicareRx Rewards Plus (S5960-050) |
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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| SilverScript (S5601-028) |
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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| United Medicare MedAdvance (S5820-117) |
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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| Community Care Rx BASIC (S5803-083) |
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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| Prescription Pathway Bronze Plan Reg 14 (S5597-079) |
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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| Aetna Medicare Rx Essentials (S5810-048) |
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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| YOURx PLAN (S5660-014) |
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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| AdvantraRx Premier (S5670-076) |
Coventry AdvantraRx | No gap coverage | Non-Members 1-800-882-3822 TTY Users should call: 1-800-508-9548 Members 1-866-823-5177 TTY Users should call: 1-866-823-5177 |
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| CIGNATURE Rx Value Plan (S5617-068) |
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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| UA Medicare Part D Prescription Drug Cov (S5755-017) |
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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| Blue MedicareRx Premier (S5596-015) |
Anthem Blue Cross and Blue Shield | Generic Only | Non-Members 1-800-467-8065 TTY Users should call: 1-888-853-7754 Members 1-866-755-2776 TTY Users should call: 1-866-755-2776 |
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| Community Care Rx CHOICE (S5803-151) |
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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| MedicareRx Rewards Premier (S5960-084) |
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 Select Plan (S5921-051) |
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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| CIGNATURE Rx Plus Plan (S5617-070) |
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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| Prescription Pathway Silver Plan Reg14 (S5597-178) |
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 Reg 14 (S5581-126) |
Marquette National Life Insurance Company | No gap coverage | Non-Members 1-800-845-2551 TTY Users should call: 1-866-222-3904 Members 1-800-698-8395 TTY Users should call: 1-800-698-8395 |
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| Aetna Medicare Rx Plus (S5810-150) |
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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| WellCare Complete (S5967-082) |
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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| Community Care Rx GOLD (S5803-117) |
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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| PacifiCare Comprehensive Plan (S5921-053) |
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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| AdvantraRx Premier Plus (S5670-078) |
Coventry AdvantraRx | No gap coverage | Non-Members 1-800-882-3822 TTY Users should call: 1-800-508-9548 Members 1-866-823-5177 TTY Users should call: 1-866-823-5177 |
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| WellCare Premier (S5967-117) |
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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| CIGNATURE Rx Complete Plan (S5617-184) |
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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| Paramount Drug Plan (S5588-001) |
Paramount Prescription Drug Plan | No gap coverage | Non-Members 1-800-462-3589 Members 1-800-462-3589 TTY Users should call: 1-800-462-3589 |
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| Prescription Pathway Gold Plan Reg 14 (S5597-046) |
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 14 (S5581-030) |
Marquette National Life Insurance Company | No gap coverage | Non-Members 1-800-845-2551 TTY Users should call: 1-866-222-3904 Members 1-800-698-8395 TTY Users should call: 1-800-698-8395 |
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| Sterling Prescription Drug Plan (S4802-026) |
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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| Aetna Medicare Rx Premier (S5810-184) |
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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| SilverScript Plus (S5601-029) |
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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| Humana PDP Complete S5884-042 (S5884-042) |
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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| Prescription Pathway Platinum Plan Reg 14 (S5581-054) |
Marquette National Life Insurance Company | No gap coverage | Non-Members 1-800-845-2551 TTY Users should call: 1-866-222-3904 Members 1-800-698-8395 TTY Users should call: 1-800-698-8395 |
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| 1 Medicare Special Needs Plans in Ohio This list is to familiarize you with Medicare Special Needs 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.) | ||||||
|---|---|---|---|---|---|---|
| Plan Name and ID Numbers |
Company (w. link to plan web site) |
Special Rules for Enrolling | Contact Service Phones |
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| UnitedHealthcare Medicare Complete Plus Rx (H3659-056-0) |
SecureHorizons | For people who are eligible for both Medicare and Medicaid. | Non-Members 1-800-504-4848 TTY Users should call: 1-888-685-8480 Members 1-800-711-6080 TTY Users should call: 1-888-685-8480 |
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