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a consumer's guide to Virginia Medicare programs, Medicare Part D Prescription Drug Reimbursement and Coverage

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

Virginia Medicare; VA; Medicare Part D in Virginia

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

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

Information from varied resources about Medicare in Virginia
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
 
brochure or publication:
2007 Virginia Medicare Supplement Insurance Premium Comparison Guide

source:Virginia Bureau of Insurance
file size: 169 pg.   languages: English
(2006) "...this Guide offers information to familiarize you with the types of Medicare supplement insurance plans available, and how these policies and plans could be compatible with your individual needs and circumstances. Use this Guide to help you understand the “Medigap” options offered in Virginia and the importance of supplementing your Medicare coverage..."
 
more from Virginia Bureau of Insurance:
web page:
Insurers Offering Medicare Products
languages: English
"The Bureau of Insurance offers the following lists of insurance companies licensed in Virginia: Medicare Supplement and Select Insurance Companies, and Medicare Advantage Plans..."

Medicare brochure or publication:
MEDICARE SUPPLEMENT INSURANCE COMPANIES
file size: 11 pg.   languages: English
(REVISED 12/11/07) PART I – APPROVED POLICIES FOR INDIVIDUALS AGE 65 OR OLDER "This list is given to you for informational purposes only and does not constitute an endorsement by the State Corporation Commission of any product or service or of any person or organization offering any product or service..."


Medicare brochure or publication:
(Virginia) SENIOR CITIZENS HANDBOOK

source:Virginia State Bar
file size: 126 pg.   languages: English
"Laws & Programs Affecting Senior Citizens in Virginia..." (2005 Edition)

Medicare brochure or publication:
Virginia Insurance Counseling and Assistance Program (VICAP) brochure
source:Virginia Department for the Aging
file size: 2 pg.   languages: English
"The Center for Elder Rights offers a variety of legal, consumer, aging, and long-term care information and assistance for older Virginians and their families..."
 
also from Virginia Department for the Aging:
Medicare publication:
Be Informed, Be Aware, Be Involved Brochure
2 pages; languages: English
Short brochure with tips to help fight Medicare and Medicaid abuse, fraud, and waste.
Medicare Web Page:
Medicare Prescription Drug Coverage
languages: English
"The Medicare Modernization Act (MMA) is bringing Prescription Drug Coverage to Medicare beneficiaries. This prescription drug coverage is designed to help you pay for the prescriptions you need, and will be available to all people who qualify for Medicare..."

Medicare Web Page:
Medicaid and Medicare Part B Enrollees

source:Virginia Department of Social Services
languages: English
The Social Security Administration and the Center for Medicare and Medicaid Services are working together to let you know about special state programs that could help elderly persons on a fixed income to pay their Medicare Part B (Medical Insurance) premium and other medical costs. Many people save more than $600 a year by participating in these programs.

Medicare Web Page:
(Medicare Prescription Drug Plan Finder

source:Medicare: The Official U.S. Government Site for People with Medicare
languages: English
Find and compare plans for all states, including Virginia Medicare Prescription Drug plans

Medicare Web Page:
Rx Partnership (RxP)
languages: English
"... RxP is an innovative public/private partnership to increase access to free prescription medications for Virginia's eligible uninsured...."

Medicare brochure or publication:
Virginia 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 brochure or publication:
2008 MEDICARE PRESCRIPTION DRUG COVERAGE AVAILABLE IN VIRGINIA

source:Centers for Medicare & Medicaid Services
file size:1 pg.  languages: English
"...•52 Medicare Prescription Drug Plans (PDPs) serving people with Medicare for 2008 •27 PDPs offering enhanced benefits or services (a net change of 1 plan) •88.3% of people with Medicare could switch to a PDP with a lower premium in 2008...."

Medicare brochure or publication:
Landscape: Virginia Medicare Advantage, Cost Plans, and Demonstrations

source:CENTERS FOR MEDICARE & MEDICAID SERVICES
file size:53 pg.   languages: English
"Virginia 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."


Medicare brochure or publication:
Lanscape: Virginia Stand-Alone Prescription Drug Plans

source:CENTERS FOR MEDICARE & MEDICAID SERVICES
file size:3 pg.   languages: English  
"Virginia 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."

How to get more information about Virginia Medicare Prescription Drug Programs

Medicare.gov has summary information about the plans offered by the companies listed in the tables above. 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 Virginia, 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.

 
Virginia Prescription Drug Plans  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 S5884-065
(S5884-065)
Humana Insurance Company No gap coverage Non-Members1-800-706-0872
TTY Users should call:
1-877-833-4486 
Members
1-800-281-6918
TTY Users should call:
1-800-281-6918
Humana PDP Enhanced S5884-006
(S5884-006)
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
(S5670-039)
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 Signature
(S5967-041)
WellCare No gap coverage Non-Members
1-888-423-5252 
Members
1-888-550-5252
TTY Users should call:
1-888-550-5252
PacifiCare Saver Plan
(S5921-102)
UnitedHealthcare No gap coverage Non-Members
1-800-943-0399 
Members
1-800-797-9794
TTY Users should call:
1-714-825-3600
AARP MedicareRx Plan
(S5820-006)
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
United Medicare MedAdvance
(S5820-110)
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
Community Care Rx BASIC
(S5803-076)
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
Advantage Star Plan
(S5644-073)
RxAmerica No gap coverage Non-Members
1-877-279-0370 
Members
1-800-429-6686
TTY Users should call:
1-800-429-6686
SilverScript
(S5601-014)
SilverScript 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 7
(S5597-072)
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
Aetna Medicare Rx Essentials
(S5810-041)
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
MedicareRx Rewards
(S5960-007)
Unicare No gap coverage Non-Members
1-866-892-5335 
Members
1-800-928-6201
TTY Users should call:
1-800-928-6201
AdvantraRx Premier
(S5670-040)
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
Blue MedicareRx Value
(S5596-005)
Anthem Blue Cross and Blue Shield No gap coverage Non-Members
1-877-481-8633
TTY Users should call:
1-800-828-1120 
Members
1-866-755-2776
TTY Users should call:
1-866-755-2776
YOURx PLAN
(S5660-006)
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
First Health Premier
(S5768-010)
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
Advantage Freedom Plan
(S5644-052)
RxAmerica No gap coverage Non-Members
1-877-279-0370 
Members
1-800-429-6686
TTY Users should call:
1-800-429-6686
CIGNATURE Rx Value Plan
(S5617-033)
CIGNA HealthCare No gap coverage Non-Members
1-800-735-1459 
Members
1-800-222-6700
TTY Users should call:
1-800-222-6700
UA Medicare Part D Prescription Drug Cov
(S5755-010)
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
PacifiCare Select Plan
(S5921-101)
UnitedHealthcare No gap coverage Non-Members
1-800-943-0399 
Members
1-800-797-9794
TTY Users should call:
1-714-825-3600
Community Care Rx CHOICE
(S5803-144)
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
Blue MedicareRx Plus
(S5596-006)
Anthem Blue Cross and Blue Shield No gap coverage Non-Members
1-877-481-8633
TTY Users should call:
1-800-828-1120 
Members
1-866-755-2776
TTY Users should call:
1-866-755-2776
CIGNATURE Rx Plus Plan
(S5617-035)
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 7
(S5825-077)
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 7
(S5597-171)
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
Aetna Medicare Rx Plus
(S5810-143)
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
PacifiCare Comprehensive Plan
(S5921-103)
UnitedHealthcare Generic Only Non-Members
1-800-943-0399 
Members
1-800-797-9794
TTY Users should call:
1-714-825-3600
Community Care Rx GOLD
(S5803-110)
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
WellCare Complete
(S5967-075)
WellCare No gap coverage Non-Members
1-888-423-5252 
Members
1-888-550-5252
TTY Users should call:
1-888-550-5252
AdvantraRx Premier Plus
(S5670-042)
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 Premier
(S5967-110)
WellCare No gap coverage Non-Members
1-888-423-5252 
Members
1-888-550-5252
TTY Users should call:
1-888-550-5252
CIGNATURE Rx Complete Plan
(S5617-177)
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 7
(S5825-021)
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 Gold Plan Reg 7
(S5597-039)
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
Sterling Prescription Drug Plan
(S4802-004)
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
Aetna Medicare Rx Premier
(S5810-177)
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 S5884-035
(S5884-035)
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
Blue MedicareRx Premier
(S5596-007)
Anthem Blue Cross and Blue Shield Generic Only Non-Members
1-877-481-8633
TTY Users should call:
1-800-828-1120 
Members
1-866-755-2776
TTY Users should call:
1-866-755-2776
SilverScript Plus
(S5601-015)
SilverScript 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
Prescription Pathway Platinum Plan Reg 7
(S5825-035)
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

 
 
1 Medicare Special Needs Plans in Virginia  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
Evercare Plan IP
(H2111-001-0)
United Healthcare Insurance Company For people in certain long-term care facilities. Non-Members
1-800-393-0395
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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