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

  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
Medicare Help & Information, Medicare Part D In Ohio, Medicare help

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.
 

Ohio Medicare; OH; Medicare Part D in Ohio

Ohio Medicaid: Medicaid assistance and Ohio Medicaid help Were you looking for Ohio Medicaid instead of Ohio Medicare? This link provides a directory of Medicare web sites, articles, publications, brochures
 
The Medicare Coverage Gap (The Doughnut Hole) A directory of web sites, articles, and publications that helps explain what and how the Prescription Drug Coverage Gap works.

Ohio Medicare Coverage, Prescription Drug Plans
Ohio Medicare Help Articles & Resources

Information from varied resources about Medicare in Ohio
Important advice about how to use this data: This Web Site links you to other Web Sites on the Internet. We cannot take responsibility for information found on third party Web sites outside our control. While we attempt to provide links only to Web Sites that comply with all applicable laws and regulations and appear to have responsible information, please understand that the content on these third-party Web Sites is subject to change without notice to us. We therefore cannot be responsible for, and accept no liability for, any information or opinion contained in any third-party Web Site. Nothing on this Web Site should be construed as the giving of advice or the making of a recommendation and it should not be relied on as the basis for any decision or action. Use this web page for informational purposes only.

 
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medicaid
 
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 brochure or publication:
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
.
Medicare Web Page:
RxforOhio
languages: English
"Find a Free or Discounted Drug Program..."

.
Medicare Web Page:
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..."
.
Medicare brochure or publication:
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."
.
Medicare brochure or publication: Medicare’s prescription drug coverage: Is it right for you?

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

.
Medicare brochure or publication:Medicare Part D Prescription Drug Coverage

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.
.
Medicare brochure or publication:
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..."

.
Medicare Web Page:
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
.
Medicare Web Page:
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..."
.
Medicaid brochure or publication:
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.
.
Medicare brochure or publication:
State Pharmacy Listing - Aetna Medicare RxSM Plans - Ohio

Aetna Medicare
.
Medicaid brochure or publication:
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 brochure or publication:
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."

How to get more information about Ohio Medicare Prescription Drug Programs

Medicare.gov has summary information about the plans offered by the companies listed in the tables below. The data sheets are called "Landscapes".
  1. The Landscape of Local Plans is a list of all plans available in your area. You can get answers to important questions for people with Medicare based on what matters to them, including:
    • Cost (premiums, deductibles and payments)
    • Coverage (important issues around what and how drugs are covered)
    • Convenience (pharmacy and mail-order options)
  2. Medicare.gov has an important help page that explains how to read and interpret the information in both Medicare Prescription Drug Plan "Landscapes. You can access the help page through this link: How to read the Medicare Prescription Drug Plans Landscape
  3. We have provided links to the landscape documents for this state in the list of publications above. 
.
.


 

Medicare prescription drug coverage plans offered in Ohio, Medicare Advantage Plans

Important advice about how to use this data: The data for the table below came from www.medicare.gov, "The Official U.S. Government Site for People with Medicare", in December, 2006, and is subject to change at any time. To check for changes and the newest data, you should visit www.medicare.gov. Your state insurance administrator might have different data; be sure to check with them before making any decisions. Nothing on this Web Site should be construed as the giving of advice or the making of a recommendation and it should not be relied on as the basis for any decision or action.

 
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.)
Plan Name and
ID Numbers
Company
(w. link to
plan web site)
Coverage in
the Gap
About the gap
Contact Service
Phones
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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

 
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
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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