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

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

Rhode Island Medicare; RD; Medicare Part D in Rhode Island

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

Rhode Island Medicare Coverage, Prescription Drug Plans
Rhode Island Medicare Help Articles & Resources

Information from varied resources about Medicare in Rhode Island
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 publication:
MEDICARE | Prescription Drug Coverage for Rhode Island

source:Rhode Island Department of Elderly Affairs (DEA)
22 pages; languages: English
from the publication: "RIDEA created this book to help Rhode Island’s Medicare beneficiaries; especially members of the Rhode Island Prescription Assistance for the Elderly (RIPAE) make the right choices regarding prescription drug coverage - now and in the future..."

 
more from Rhode Island Department of Elderly Affairs (DEA):
Publication:
2006 - RHODE ISLAND GUIDE TO BUYING MEDICARE SUPPLEMENT INSURANCE AND MEDICARE MANAGED CARE PLANS
file size: 34 pg.   languages: English
from the publication: "The Senior Health Insurance Program (SHIP) offers information and assistance regarding health insurance issues to Medicare beneficiaries and to older adults."

.
Medicare Web Page:
Medicare Premium Payment Program

source:Rhode Island Department of Human Services
languages: English
from the web page: "The Medicare Premium Payment Program helps elderly and disabled adults pay all or some of the costs of Medicare’s Part A and Part B premiums, deductibles and co-payments. Depending on income and resources, individuals may qualify for one of the following categories: ..."
.
Medicare Web Page:
Rhode Island Department of Health Medicare Prescription Drug Coverage Website for the Health Professional

source:Rhode Island Department of Health
languages: English
from the web page: "Beginning January 1, 2006, all your Medicare patients and customers can get help from Medicare with their prescription drug costs..."
.
Medicare Web Page:
Guide to Medicare Part D

source:University of Rhode Island College of Pharmacy
languages: English
from the web page: "...For those eligible Prescription drug insurance coverage is now available through Medicare Part D programs. To help consumers understand Medicare Part D and make informed decisions we have provided three resources:.."
.
Medicare Web Page:
Rhode Island Pharmaceutical Assistance to the Elderly (RIPAE)

source: The Point - State of Rhode Island: Office of Health and Human Services, Aging and Disabilities Resource Center
languages: English
"The Rhode Island Pharmaceutical Assistance to the Elderly (RIPAE) program pays a portion of the cost of Category A prescriptions used to treat Alzheimer’s disease, arthritis, diabetes (including insulin and syringes for insulin injections), heart problems, depression, anti-infectives, Parkinson’s disease, high blood pressure, cancer, urinary incontinence, circulatory insufficiency, high cholesterol, asthma and chronic respiratory conditions, osteoporosis, glaucoma, and prescription vitamins and mineral supplements for renal patients for eligible Rhode Island residents 65 and older..." (for individuals who qualify -see the web page for explanation)
.
Medicare Web Page:
Rhode Island Medicare Services: Contacting Medicare Services

source:Welcome To Rhode Island Medicare Services
languages: English
Telephone and address information for Rhode Island Medicare services
.
Medicare brochure or publication:
Rhode Island 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...."
.
Medicare Web Page:
Rhode Island: 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:
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 Rhode Island

source:healthinsuranceinfo.net
file size: 40pg.   languages: English
from GEORGETOWN UNIVERSITY HEALTH POLICY INSTITUTE. from the publication: "...As a Rhode Island 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 Rhode Island resident..."
.
Medicare brochure or publication:
State Pharmacy Listing - Aetna Medicare RxSM Plans - Connecticut / Massachusetts / Rhode Island / Vermont

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.
.
Medicaid brochure or publication:
Medicare & You 2007

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."
.
Medicare brochure or publication:
Lanscape: 2007 Rhode Island 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
Rhode Island 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: Rhode Island Medicare Advantage, Cost Plans, and Demonstrations

source:CENTERS FOR MEDICARE & MEDICAID SERVICES
file size:23 pg.   languages: English
"Rhode Island 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 Rhode Island 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 Rhode Island: 

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.

 
Prescription Drug Plans in Rhode Island  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
(S5820-002)
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
(S5644-047)
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
(S5644-068)
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
(S5674-009)
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
(S5674-011)
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
(S5674-008)
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
(S5810-036)
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
(S5810-138)
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
(S5810-172)
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
Blue MedicareRx - Option 1
(S2893-001)
Blue Cross & Blue Shield of Rhode Island No gap coverage Non-Members
1-877-479-2227
TTY Users should call:
1-800-936-9984
Members
1-866-755-2776
TTY Users should call:
1-866-755-2776
Blue MedicareRx - Option 2
(S2893-002)
Blue Cross & Blue Shield of Rhode Island No gap coverage Non-Members
1-877-479-2227
TTY Users should call:
1-800-936-9984
Members
1-866-755-2776
TTY Users should call:
1-866-755-2776
Blue MedicareRx - Option 3
(S2893-003)
Blue Cross & Blue Shield of Rhode Island Generic Only Non-Members
1-877-479-2227
TTY Users should call:
1-800-936-9984
Members
1-866-755-2776
TTY Users should call:
1-866-755-2776
CIGNATURE Rx Complete Plan
(S5617-172)
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
(S5617-010)
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
(S5617-008)
CIGNA HealthCare No gap coverage 1-800-222-6700
TTY Users should call:
1-800-222-6700
Community Care Rx BASIC
(S5803-071)
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
(S5803-139)
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
(S5803-105)
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
Health Net Orange
(S5678-010)
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
(S5678-004)
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 S5884-031
(S5884-031)
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 S5884-002
(S5884-002)
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 S5884-061
(S5884-061)
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
(S5960-002)
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
(S5960-038)
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
(S5960-072)
Unicare Generic Only Non-Members
1-866-892-5335
Members
1-800-928-6201
TTY Users should call:
1-800-928-6201
PacifiCare Comprehensive Plan
(S5921-183)
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
(S5921-182)
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
(S5921-181)
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 2
(S5597-068)
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 2
(S5597-035)
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 2
(S5825-016)
American Progressive Life & Health Ins Co of NY No gap coverage Non-Members
1-800-825-8200
TTY Users should call:
1-866-222-3904
Members
1-800-698-8396
TTY Users should call:
1-850-432-1700
Prescription Pathway Platinum Plan Reg 2
(S5825-030)
American Progressive Life & Health Ins Co of NY No gap coverage Non-Members
1-800-825-8200
TTY Users should call:
1-866-222-3904
Members
1-800-698-8396
TTY Users should call:
1-850-432-1700
Prescription Pathway Silver Plan Reg 2
(S5597-167)
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 2
(S5825-072)
American Progressive Life & Health Ins Co of NY No gap coverage Non-Members
1-800-825-8200
TTY Users should call:
1-866-222-3904
Members
1-800-698-8396
TTY Users should call:
1-850-432-1700
SilverScript
(S5601-004)
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
(S5601-005)
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
(S4802-023)
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
(S5755-006)
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
(S5820-106)
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
(S5967-070)
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
(S5967-105)
WellCare No gap coverage Non-Members
1-888-423-5252
Members
1-888-550-5252
TTY Users should call:
1-888-550-5252
WellCare Signature
(S5967-036)
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
(S5660-003)
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


3 Medicare Special Needs Plans in Rhode Island  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.)
BlueCHiP for Medicare Optima
(H4152-012-0)
Blue Cross & Blue Shield Of Rhode Island For people who are eligible for both Medicare and Medicaid. Non-Members
1-800-505-2583
TTY Users should call:
1-877-232-8432
Members
1-800-267-0439
TTY Users should call:
1-877-232-8432
Evercare Plan DH
(H4106-001-0)
United Healthcare Insurance Company For people who are eligible for both Medicare and Medicaid. Non-Members
1-800-393-0939
TTY Users should call:
1-888-685-8480
Members
1-877-702-3251
TTY Users should call:
1-888-685-8480
Evercare Plan IP
(H2228-002-0)
United Healthcare Insurance Company For people in certain long-term care facilities. Non-Members
1-800-393-0939
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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