| 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 |
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| 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
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. |
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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 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 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 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... " 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..." 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..." 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 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 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. State Pharmacy Listing - Aetna Medicare RxSM Plans - Oregon / Washington State 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 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." |
| 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.) | ||||||
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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 (S5820-029) |
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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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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