| The Medicare Project 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 |
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| 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
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. |
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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 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: ..." 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..." 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:.." 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) 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 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...." 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 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 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..." State Pharmacy Listing - Aetna Medicare RxSM Plans - Connecticut / Massachusetts / Rhode Island / Vermont 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. 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." 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." |
| 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.) | ||||||
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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 (S5820-002) |
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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| CIGNATURE Rx Value Plan (S5617-008) |
CIGNA HealthCare | No gap coverage | 1-800-222-6700 TTY Users should call: 1-800-222-6700 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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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