The Medicare Project   
a consumer's guide to Oregon 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 Oregon help & articles    Who Offers Oregon Medicare Prescription Drug Plans? The Medicare Project (Home)   Oregon MEDICAID help

Oregon Medicare, Oregon Medicare Prescription Drug Coverage
Medicare Help & Information, Medicare Part D In Oregon, 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 Oregon Medicare help and information resources.
 

Oregon Medicare; OR; Medicare Part D in Oregon

Oregon Medicaid: Medicaid assistance and Oregon Medicaid help Were you looking for Oregon Medicaid instead of Oregon 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.

Oregon Medicare Information  

Information from varied resources about Medicare in Oregon
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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Medicare brochure or publication:
Medicare Part D Enrollment: How to Pick the Best Plan

source:State of Oregon: DHS Medicare Modernization Act (MMA) Project (Oregon Department of Human Services )

file size: 4 pg.   languages: English

"Before beginning enrollment you will need some different tools to help you..."
.
Medicare brochure or publication:
Medicare Prescription Drug Checklist for Oregons Long-term Care Facilities

source:Oregon Health Care Association

file size: 2 pg.   languages: English

Checklist of steps recommended for Long term Care facilities in Oregon for implementing Medicare Modernization Act
.
Medicare brochure or publication:
February 2007 Approved Medigap (Medicare Supplement) Plans

source:Washington State Office of the Insurance Commissioner

file size: 6 pg.   languages: English

Checklist of steps recommended for Long term Care facilities in Oregon for implementing Medicare Modernization Act
.
Medicare brochure or publication:
How to Enroll in Medicare Prescription Drug Coverage (Part D)

source: State of Oregon Senior Health Insurance Benefits Assistance Program
file size: 1 pg.   languages: English
"Medicare beneficiaries may enroll in a Medicare Prescription Drug Plan (PDP) on the Internet at www.medicare.gov. Or, call 1-800-Medicare. Here is what you need to know before you enroll in a drug plan..."
 
more from State of Oregon Senior Health Insurance Benefits Assistance Program:

Medicare brochure or publication:
Oregon Guide to Medigap, Medicare Advantage & Prescription Drug Plans
132 pages; languages: English
"This book is laid out in the following format: Introduction Medicare Parts A, B, C and D, explanations Enrollment Period reference charts Medicare Advantage (Part C), premiums and plan information Medigap, premiums and plan information Stand-alone Prescription Drug Plans (Part D), premiums and plan information..."

Medicare Web Page:
Medicare Information
languages: English
"Medicare Eligibility; Medicare Part D Medicare; Prescription Drug Coverage; Part A Hospital Insurance; Part B; Medicare Supplements (Medigap); Medicare Supplemental Insurance; Enrollment For People With Medicare By Reason Of Disability; Free Information Or Referral To A Trained Local SHIBA Volunteer; Prescription Drug Information... "

.
Medicare Web Page:
Reducing Your Prescription Drug Costs
source:OregonRx
languages: English
"...Tools to help reduce cost... Read the latest research about drug effectiveness...."

 
more from OregonRx:

Medicare Web Page:
Understanding Your Prescription
languages: English
"10 Questions to Ask About a New Prescription..."

Medicare brochure or publication:
Prescription Drug Guide
2 pages; languages: English
"Your Guide to Evaluating Prescription Drug Costs and Effectiveness..."

.
Medicare brochure or publication:
Oregon 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:
Writing the Prescription for a Healthy Oregon Oregon Prescription Drug Program Now Open to Any Oregonian Without Rx Coverage
languages: English
"hanks to the overwhelming passage of Measure 44co-sponsored by AARP Oregon and Sen. Bill Morrisetteon November's election ballot, Oregon is now able to tackle the skyrocketing costs of prescription drugs and bring more affordable, accessible medications to Oregonians across the state..."

.
Medicare Web Page:
Oregon: 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:
What Medicare Covers & How Much You Will Pay

source:Medicare Rights Center
languages: English  
Charts of premiums, deductables, and other information for medicare coverage under Part A, Part B, and Part D
.
Medicaid brochure or publication:
A Consumer's Guide to Getting and Keeping Health Insurance in Oregon

source:healthinsuranceinfo.net
file size: 43pg.   languages: English
from GEORGETOWN UNIVERSITY HEALTH POLICY INSTITUTE. As a resident of Oregon, 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 Oregon.
.
Medicare brochure or publication:
State Pharmacy Listing - Aetna Medicare RxSM Plans - Oregon / Washington State

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 Oregon 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
Oregon 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: Oregon Medicare Advantage, Cost Plans, and Demonstrations

source:CENTERS FOR MEDICARE & MEDICAID SERVICES
file size:20 pg.   languages: English
"Oregon 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."

How to get more information about Oregon 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 Oregon: 

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.

 
45 Prescription Drug Plans in Oregon   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
AARP MedicareRx Plan
(S5820-029)
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
Advantage Freedom Plan
(S5644-062)
RxAmerica No gap coverage Non-Members
1-877-279-0370
Members
1-800-429-6686
TTY Users should call:
1-800-429-6686
Advantage Star Plan
(S5644-083)
RxAmerica No gap coverage Non-Members
1-877-279-0370
Members
1-800-429-6686
TTY Users should call:
1-800-429-6686
AdvantraRx Premier
(S5674-045)
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
AdvantraRx Premier Plus
(S5674-047)
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
AdvantraRx Value
(S5674-044)
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
Aetna Medicare Rx Essentials
(S5810-064)
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
Aetna Medicare Rx Plus
(S5810-166)
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
Aetna Medicare Rx Premier
(S5810-200)
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
Asuris Medicare Script
(S5609-001)
Asuris Northwest Health No gap coverage Non-Members
1-888-734-3623
TTY Users should call:
1-800-382-1003
Members
1-800-541-8981
TTY Users should call:
1-800-541-8981
CIGNATURE Rx Complete Plan
(S5617-200)
CIGNA HealthCare Generic Only Non-Members
1-800-735-1459
Members
1-800-222-6700
TTY Users should call:
1-800-222-6700
CIGNATURE Rx Plus Plan
(S5617-150)
CIGNA HealthCare No gap coverage Non-Members
1-800-735-1459
Members
1-800-222-6700
TTY Users should call:
1-800-222-6700
CIGNATURE Rx Value Plan
(S5617-148)
CIGNA HealthCare No gap coverage Non-Members
1-800-735-1459
Members
1-800-222-6700
TTY Users should call:
1-800-222-6700
Community Care Rx BASIC
(S5803-099)
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
Community Care Rx CHOICE
(S5803-167)
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
Community Care Rx GOLD
(S5803-133)
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
Fox Rx Care
(S5557-005)
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
Health Net Orange
(S5678-006)
Health Net No gap coverage Non-Members
1-800-806-8811
TTY Users should call:
1-800-929-9955
Members
1-800-806-8811
TTY Users should call:
1-800-806-8811
Health Net Orange
(S5678-012)
Health Net No gap coverage Non-Members
1-800-806-8811
TTY Users should call:
1-800-929-9955
Members
1-800-806-8811
TTY Users should call:
1-800-806-8811
Humana PDP Complete S5884-058
(S5884-058)
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
Humana PDP Enhanced S5884-028
(S5884-028)
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 Standard S5884-088
(S5884-088)
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
MedicareRx Rewards
(S5960-030)
Unicare No gap coverage Non-Members
1-866-892-5335
Members
1-800-928-6201
TTY Users should call:
1-800-928-6201
MedicareRx Rewards Plus
(S5960-066)
Unicare No gap coverage Non-Members
1-866-892-5335
Members
1-800-928-6201
TTY Users should call:
1-800-928-6201
MedicareRx Rewards Premier
(S5960-100)
Unicare Generic Only Non-Members
1-866-892-5335
Members
1-800-928-6201
TTY Users should call:
1-800-928-6201
ODS Advantage Rx
(S5975-001)
ODS Advantage Rx No gap coverage Non-Members
1-877-299-9062
TTY Users should call:
1-800-433-6313
Members
1-888-786-7509
TTY Users should call:
1-503-265-4709
PacifiCare Comprehensive Plan
(S5921-023)
UnitedHealthcare Generic Only Non-Members
1-800-943-0399
Members
1-800-797-9794
TTY Users should call:
1-714-825-3600
PacifiCare Saver Plan
(S5921-022)
UnitedHealthcare No gap coverage Non-Members
1-800-943-0399
Members
1-800-797-9794
TTY Users should call:
1-714-825-3600
PacifiCare Select Plan
(S5921-021)
UnitedHealthcare No gap coverage Non-Members
1-800-943-0399
Members
1-800-797-9794
TTY Users should call:
1-714-825-3600
Prescription Pathway Bronze Plan Reg 30
(S5597-095)
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 30
(S5581-044)
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
Prescription Pathway Gold Plan Reg 30
(S5597-062)
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 Platinum Plan Reg 30
(S5581-068)
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
Prescription Pathway Silver Plan Reg 30
(S5581-140)
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
Prescription Pathway Silver Plan Reg30
(S5597-194)
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
SierraRx
(S5917-006)
SierraRx No gap coverage Non-Members
1-866-789-0565
TTY Users should call:
1-866-789-0572
Members
1-866-789-1522
TTY Users should call:
1-866-789-1522
SilverScript
(S5601-060)
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
SilverScript Plus
(S5601-061)
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
Sterling Prescription Drug Plan
(S4802-020)
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
UA Medicare Part D Prescription Drug Cov
(S5755-033)
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
United Medicare MedAdvance
(S5820-133)
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
WellCare Complete
(S5967-099)
WellCare No gap coverage Non-Members
1-888-423-5252
Members
1-888-550-5252
TTY Users should call:
1-888-550-5252
WellCare Premier
(S5967-133)
WellCare No gap coverage Non-Members
1-888-423-5252

1-888-550-5252
TTY Users should call:
1-888-550-5252
WellCare Signature
(S5967-064)
WellCare No gap coverage Non-Members
1-888-423-5252
Members
1-888-550-5252
TTY Users should call:
1-888-550-5252
YOURx PLAN
(S5660-030)
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

 
8 Medicare Special Needs Plans in Oregon  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
CareOregon Advantage
(H5859-001-0)
CareOregon Advantage For people who are eligible for both Medicare and Medicaid. Non-Members
1-800-224-4840
TTY Users should call:
1-503-416-3700
Members
1-800-224-4840
TTY Users should call:
1-503-416-3700
CareSource - SNP
(H3810-002-0)
CareSource For people who are eligible for both Medicare and Medicaid. Non-Members
1-888-460-0185
TTY Users should call:
1-800-735-2900
Members
1-888-460-0185
TTY Users should call:
1-800-735-2900
Evercare Plan DP
(H3812-004-0)
SecureHorizons For people who are eligible for both Medicare and Medicaid. Non-Members
1-866-289-3831
TTY Users should call:
1-888-685-8480
Members
1-866-480-0073
TTY Users should call:
1-888-685-8480
Evercare Plan IP
(H3812-005-0)
SecureHorizons For people in certain long-term care facilities. Non-Members
1-800-393-0993
TTY Users should call:
1-888-685-8480
Members
1-800-393-0993
TTY Users should call:
1-888-685-8480
Marion Polk Community HealthPlan Advantage
(H5995-001-0)
Marion Polk Community Health Plan Advantage For people who are eligible for both Medicare and Medicaid. Non-Members
1-866-869-1514
TTY Users should call:
1-800-471-7944
Members
1-866-869-1514
TTY Users should call:
1-800-471-7944
MyAdvantage SNP
(H3814-007-0)
ATRIO MyAdvantage For people who are eligible for both Medicare and Medicaid. Non-Members
1-877-672-8620
TTY Users should call:
1-800-735-2900
Members
1-877-672-8620
TTY Users should call:
1-541-735-2900
PremierCare Plus
(H3818-002-0)
FamilyCare Health Plans, Inc. For people who are eligible for both Medicare and Medicaid. Non-Members
1-866-225-2273
TTY Users should call:
1-800-735-2900
Members
1-866-798-2273
TTY Users should call:
1-800-735-2900
The Samaritan Advantage Special Needs Plan
(H3811-003-0)
Samaritan Advantage Health Plan For people who are eligible for both Medicare and Medicaid. Non-Members
1-800-317-7489
TTY Users should call:
1-800-735-2900
Members
1-800-317-7489
TTY Users should call:
1-800-735-2900


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