| The Medicare Project a consumer's guide to Tennessee 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 Tennessee help & articles | Who Offers Tennessee Medicare Prescription Drug Plans? | The Medicare Project (Home) | Tennessee MEDICAID help |
Tennessee Medicare, Tennessee 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 Tennessees Medicare help and information
resources. |
|||
|
Medicare Web Page: Medicare Supplement Coverage source:State of Tennessee, Dep't of Finance & Administration languages: English "For 2006, the membership in the state-sponsored Medicare supplement Plans One, Two and Three will be consolidated into a single plan. The Tennessee Plan will be available to all qualified Medicare eligible retirees..." more from State of Tennessee, Dep't of Finance & Administration : Medicare Web Page: Welcome to The Tennessee Plan - The Medicare Supplement Plan for Tennessee Government Retirees 2 pages; languages: English "As a retiree, you may be eligible for The Tennessee Plan. This plan is designed specifically for retired state employees, teachers and local government employees and their eligible spouses and dependents...." Tennessee's State Health Insurance Assistance Program (SHIP) source:State of Tennessee, Commission on Aging and Disability languages: English "The Tennessee State Health Insurance Assistance Program is a statewide program that provides free and objective counseling and assistance to persons with questions or problems regarding Medicare and other related health insurances..." Medicare Supplement source:Tennessee Rural Health languages: English "Only you know which Medicare supplement plan will best suit your lifestyle and your budget. That's why TRH offers all 10 federally approved Medicare supplements...." Retiree Medicare/Medigap (age 65 and older) source:University of Tennessee, Office of Benefits and Retirement Services languages: English "Once you become Medicare eligible, and you are retired, your primary insurance will be Medicare Part A (Hospital Insurance) insurance will be Medicare Part A (Hospital Insurance) and you may not continue the State's basic group health insurance..." source:State of Tennessee Department of Commerce and Insurance file size: 2 pg. languages: English Basic information -dated Oct, 2005- about Medicare Prescription Drug plans Introducing Blue MedicareRxSM source: BlueCross BlueShield of Tennessee
Medicare products Medicare Part D . . . Medicare Prescription Drug source: Cariten Senior Health
Medicare Part D Plans source: Humana Inc.
Tennessee 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...." Tennessee: 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 Tennessee source:healthinsuranceinfo.net file size: 38pg. languages: English from GEORGETOWN UNIVERSITY HEALTH POLICY INSTITUTE. As a resident of Tennessee, 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 Tennessee. State Pharmacy Listing - Aetna Medicare RxSM Plans - Alabama / Tennessee 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 Tennessee 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 Tennessee 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: Tennessee Medicare Advantage, Cost Plans, and Demonstrations source:CENTERS FOR MEDICARE & MEDICAID SERVICES file size:52 pg. languages: English "Tennessee 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." |
| 41 Prescription Drug Plans in Tennessee 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 S5884-070 (S5884-070) |
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 |
|||
| First Health Premier (S5768-015) |
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 |
|||
| Humana PDP Enhanced S5884-001 (S5884-001) |
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 |
|||
| AdvantraRx Value (S5670-063) |
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 |
|||
| HealthSpring Prescription Drug Plan (S5932-001) |
Healthspring | No gap coverage | Non-Members 1-888-583-3346 TTY Users should call: 1-800-391-9806 Members 1-888-501-3965 TTY Users should call: 1-888-501-3965 |
|||
| AmeriHealth Advantage Rx Option l (S5783-005) |
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 |
|||
| WellCare Signature (S5967-046) |
WellCare | No gap coverage | Non-Members 1-888-423-5252 Members 1-888-550-5252 TTY Users should call: 1-888-550-5252 |
|||
| AARP MedicareRx Plan (S5820-011) |
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 |
|||
| MedicareRx Rewards (S5960-012) |
Unicare | No gap coverage | Non-Members 1-866-892-5335 Members 1-800-928-6201 TTY Users should call: 1-800-928-6201 |
|||
| YOURx PLAN (S5660-012) |
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 |
|||
| United Medicare MedAdvance (S5820-115) |
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 |
|||
| SilverScript (S5601-024) |
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 |
|||
| Prescription Pathway Bronze Plan Reg 12 (S5597-077) |
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 |
|||
| Community Care Rx BASIC (S5803-081) |
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 |
|||
| AdvantraRx Premier (S5670-064) |
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 |
|||
| PacifiCare Saver Plan (S5921-152) |
UnitedHealthcare | No gap coverage | Non-Members 1-800-943-0399 Members 1-800-797-9794 TTY Users should call: 1-714-825-3600 |
|||
| Advantage Allegiance Plan (S5644-012) |
RxAmerica | No gap coverage | Non-Members 1-877-279-0370 Members 1-800-429-6686 TTY Users should call: 1-800-429-6686 |
|||
| Advantage Freedom Plan (S5644-056) |
RxAmerica | No gap coverage | Non-Members 1-877-279-0370 Members 1-800-429-6686 TTY Users should call: 1-800-429-6686 |
|||
| UA Medicare Part D Prescription Drug Cov (S5755-015) |
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 |
|||
| CIGNATURE Rx Value Plan (S5617-058) |
CIGNA HealthCare | No gap coverage | Non-Members 1-800-735-1459 Members 1-800-222-6700 TTY Users should call: 1-800-222-6700 |
|||
| MedicareRx Rewards Plus (S5960-048) |
Unicare | No gap coverage | Non-Members 1-866-892-5335 Members 1-800-928-6201 TTY Users should call: 1-800-928-6201 |
|||
| Aetna Medicare Rx Essentials (S5810-046) |
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 |
|||
| Community Care Rx CHOICE (S5803-149) |
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 Silver Plan Reg12 (S5597-176) |
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 |
|||
| CIGNATURE Rx Plus Plan (S5617-060) |
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 Reg 12 (S5581-125) |
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 |
|||
| AdvantraRx Premier Plus (S5670-066) |
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 Complete (S5967-080) |
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 (S5803-115) |
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 Select Plan (S5921-151) |
UnitedHealthcare | No gap coverage | Non-Members 1-800-943-0399 Members 1-800-797-9794 TTY Users should call: 1-714-825-3600 |
|||
| WellCare Premier (S5967-115) |
WellCare | No gap coverage | Non-Members 1-888-423-5252 Members 1-888-550-5252 TTY Users should call: 1-888-550-5252 |
|||
| MedicareRx Rewards Premier (S5960-082) |
Unicare | Generic Only | Non-Members 1-866-892-5335 Members 1-800-928-6201 TTY Users should call: 1-800-928-6201 |
|||
| Aetna Medicare Rx Plus (S5810-148) |
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 |
|||
| CIGNATURE Rx Complete Plan (S5617-182) |
CIGNA HealthCare | Generic Only | Non-Members 1-800-735-1459 Members 1-800-222-6700 TTY Users should call: 1-800-222-6700 |
|||
| Prescription Pathway Gold Plan Reg 12 (S5597-044) |
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 12 (S5581-029) |
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 |
|||
| PacifiCare Comprehensive Plan (S5921-153) |
UnitedHealthcare | Generic Only | Non-Members 1-800-943-0399 Members 1-800-797-9794 TTY Users should call: 1-714-825-3600 |
|||
| SilverScript Plus (S5601-025) |
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 |
|||
| Aetna Medicare Rx Premier (S5810-182) |
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 |
|||
| Humana PDP Complete S5884-040 (S5884-040) |
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 12 (S5581-053) |
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 |
|||
| 7 Medicare Special Needs Plans in Tennessee 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 |
|||
| Cariten Senior Health Complete (H4461-011-0) |
Cariten Senior Health | For people who are eligible for both Medicare and Medicaid. | Non-Members 1-888-285-2599 TTY Users should call: 1-800-396-2150 Members 1-888-817-5838 TTY Users should call: 1-800-396-2150 |
|||
| Special Care (H4454-013-0) |
Healthspring | For people in certain long-term care facilities. | Non-Members 1-866-802-2415 TTY Users should call: 1-800-391-9806 Members 1-888-501-3965 TTY Users should call: 1-886-206-5565 |
|||
| Total Care (H4454-008-0) |
Healthspring | For people who are eligible for both Medicare and Medicaid. | Non-Members 1-866-802-2415 TTY Users should call: 1-800-391-9806 Members 1-888-501-3965 TTY Users should call: 1-886-206-5565 |
|||
| UnitedHealthcare Medicare Complete Plus Rx (H4406-004-0) |
SecureHorizons | For people who are eligible for both Medicare and Medicaid. | Non-Members 1-800-816-7279 TTY Users should call: 1-888-685-8480 Members 1-800-853-2904 TTY Users should call: 1-888-685-8480 |
|||
| Windsor Medicare Extra Comprehensive Plan (H5698-003-0) |
Windsor Medicare Extra | For people who are eligible for both Medicare and Medicaid. | Non-Members 1-877-556-7704 TTY Users should call: 1-800-848-0298 Members 1-800-316-2273 TTY Users should call: 1-800-848-0298 |
|||
| Windsor Medicare Extra Comprehensive Plan (H5698-009-0) |
Windsor Medicare Extra | For people who are eligible for both Medicare and Medicaid. | Non-Members 1-877-556-7704 TTY Users should call: 1-800-848-0298 Members 1-800-316-2273 TTY Users should call: 1-800-848-0298 |
|||
| Windsor Medicare Extra Comprehensive Plan (H5698-014-0) |
Windsor Medicare Extra | For people who are eligible for both Medicare and Medicaid. | Non-Members 1-877-556-7704 TTY Users should call: 1-800-848-0298 Members 1-800-316-2273 TTY Users should call: 1-800-848-0298 |
|||