| The Medicare Project a consumer's guide to Virginia 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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| Who Offers Virginia Medicare Prescription Drug Plans? | Medicare Virginia help & articles | The Medicare Project (Home) | Virginia MEDICAID help |
Virginia Medicare, Virginia 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 Virginia Medicare help and information
resources. |
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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..." (Virginia) SENIOR CITIZENS HANDBOOK source:Virginia State Bar file size: 126 pg. languages: English "Laws & Programs Affecting Senior Citizens in Virginia..." (2005 Edition) 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..." 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 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 Rx Partnership (RxP) languages: English "... RxP is an innovative public/private partnership to increase access to free prescription medications for Virginia's eligible uninsured...." 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...." 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...." 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." |
| 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.) | ||||||
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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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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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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