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
Medicare Help & Information, Medicare Part D In Tennessee, 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 Tennessees Medicare help and information resources.
 

Tennessee Medicare; TN; Medicare Part D in Tennessee

Tennessee Medicaid: Medicaid assistance and Tennessee Medicaid help Were you looking for TennesseeMedicaid instead of Tennessee Medicare? This link provides a directory of Medicare web sites, articles, publications, brochures
 

Tennessee Medicare Coverage, Prescription Drug Plans
Tennessee Medicare Help Articles & Resources

Information from varied resources about Medicare in Tennessee
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 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...."

.
Medicare Web Page:
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 Web Page:
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...."
.
Medicare Web Page:
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..."
.
Medicare brochure or publication: CONSUMER TIPS FOR NEW MEDICARE PRESCRIPTION DRUG COVERAGE (Tennessee)

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
.
Medicare insurance web page:
Introducing Blue MedicareRxSM
source: BlueCross BlueShield of Tennessee
Medicare products

.
Medicare insurance web page:
Medicare Part D . . . Medicare Prescription Drug
.
Medicare insurance web page:
Medicare Part D Plans
source: Humana Inc.
.
Medicare brochure or publication:
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...."
.
Medicare Web Page:
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
.
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 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.
.
Medicare brochure or publication:
State Pharmacy Listing - Aetna Medicare RxSM Plans - Alabama / Tennessee

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 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."

How to get more information about Tennessee 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 Tennessee, Medicare Advantage Plans

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.

   

Medicare prescription drug coverage plans offered in Tennessee, Medicare Advantage Plans

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.

 
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

 

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