| The Medicare Project a consumer's guide to Washington 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 Washington Medicare Prescription Drug Plans? | Medicare Washington help & articles | The Medicare Project (Home) | Washington MEDICAID help |
Washington Medicare, Washington 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 Washington Medicare help and information
resources. |
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Medicare brochure or publication: Medicare Part D Fact Sheet: Prescription Drug Plans in Oregon and Washington source:Oregon Primary Care Association file size: 2 pg. languages: English date:August, 2005 Information about the kinds of coverage offered by the approximately 21 organizations that will market stand-alone prescription drug plans throughout Oregon and Washington in 2006. source:State of Washington Office of the Insurance Commissioner file size: 32 pg. languages: English date:August, 2005 from the document: "This workbook is designed to help you make a timely and informed decision about Medicare’s new prescription drug program..." more from State of Washington Office of the Insurance Commissioner Medicare Web Page: SHIBA HelpLine - Medicare - SHIBA HelpLine — Statewide Health Insurance Benefits Advisors languages: English "The Statewide Health Insurance Benefits Advisors (SHIBA) HelpLine is a special service of the Insurance Commissioner's Office that provides free health-insurance education, assistance, and advocacy for all Washington residents..." Medicare brochure or publication: Medicare Prescription Drug Program (Part D) Rules about joining, switching, or leaving plans file size: 2 pg. languages: English date:August, 2005 from the document: "You may use a Part D enrollment period to join, switch, or leave a Part D plan. To switch plans, you only have to join a new plan. Your old plan will automatically end..." Medicare brochure or publication: February 2007 Approved Medigap (Medicare Supplement) Plans - Washington file size: 6 pg. languages: English Medicare brochure or publication: Your Medicare Choices file size: 27 pg. languages: English date:August, 2005 from the document: "This publication will help you understand Medicare programs and your options for supplementing Medicare benefits. Choices may vary and can be complex..." Medicare Plans source:Regence BlueShield file size:6 pg. languages: English date:October 2005 Coverage information for MedAdvantage™ Plan, Part D Prescription Drug Coverage, and Traditional Medicare Supplement plans PAYING FOR THE ASSISTIVE TECHNOLOGY YOU NEED source:University of Washington Center for Technology and Disability Studies languages: English "A Consumer Guide to Funding Sources in Washington State" Washington 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...." Washington: 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 Washington State source:healthinsuranceinfo.net file size: 48pg. languages: English from GEORGETOWN UNIVERSITY HEALTH POLICY INSTITUTE. As a resident of Washington State, 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 Washington State. State Pharmacy Listing - Aetna Medicare RxSM Plans - Oregon / Washington State 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 Washington State 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 Washington State 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: Washington State Medicare Advantage, Cost Plans, and Demonstrations source:CENTERS FOR MEDICARE & MEDICAID SERVICES file size:17 pg. languages: English "Washington State 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." |
| 45 Prescription Drug Plans in Washington State 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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| Aetna Medicare Rx Essentials (S5810-064) |
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 (S5810-166) |
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 (S5810-200) |
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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| Asuris Medicare Script (S5609-001) |
Asuris Northwest Health | No gap coverage | Non-Members 1-888-734-3623 TTY Users should call: 1-800-382-1003 Members 1-800-541-8981 TTY Users should call: 1-800-541-8981 |
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| CIGNATURE Rx Complete Plan (S5617-200) |
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 (S5617-150) |
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 (S5617-148) |
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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| AdvantraRx Premier (S5674-045) |
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 (S5674-047) |
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 (S5674-044) |
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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| Fox Rx Care (S5557-005) |
FOX Insurance Company | No gap coverage | Non-Members 1-888-369-7979 TTY Users should call: 1-866-369-7373 Members 1-888-369-7373 TTY Users should call: 1-480-423-8184 ext: 5917 |
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| Health Net Orange (S5678-006) |
Healthspring | 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 (S5678-012) |
Healthspring | 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 S5884-058 (S5884-058) |
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 S5884-028 (S5884-028) |
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 S5884-088 (S5884-088) |
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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| Prescription Pathway Gold Plan Reg 30 (S5581-044) |
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 |
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| Prescription Pathway Platinum Plan Reg 30 (S5581-068) |
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 |
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| Prescription Pathway Silver Plan Reg 30 (S5581-140) |
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 |
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| YOURx PLAN (S5660-030) |
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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| Community Care Rx BASIC (S5803-099) |
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 (S5803-167) |
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 (S5803-133) |
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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| ODS Advantage Rx (S5975-001) |
ODS Advantage Rx | No gap coverage | Non-Members 1-877-299-9062 TTY Users should call: 1-800-433-6313 Members 1-888-786-7509 TTY Users should call: 1-503-265-4709 |
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| Prescription Pathway Bronze Plan Reg 30 (S5597-095) |
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 30 (S5597-062) |
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 Reg30 (S5597-194) |
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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| Advantage Freedom Plan (S5644-062) |
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 (S5644-083) |
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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| SierraRx (S5917-006) |
SierraRx | No gap coverage | Non-Members 1-866-789-0565 TTY Users should call: 1-866-789-0572 Members 1-866-789-1522 TTY Users should call: 1-866-789-1522 |
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| SilverScript (S5601-060) |
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 (S5601-061) |
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 (S4802-020) |
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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| MedicareRx Rewards (S5960-030) |
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 (S5960-066) |
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 (S5960-100) |
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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| UA Medicare Part D Prescription Drug Cov (S5755-033) |
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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| AARP MedicareRx Plan (S5820-029) |
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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| PacifiCare Comprehensive Plan (S5921-023) |
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 (S5921-022) |
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 (S5921-021) |
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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| United Medicare MedAdvance (S5820-133) |
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 (S5967-099) |
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 (S5967-133) |
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 (S5967-064) |
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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| 3 Medicare Special Needs Plans in Washington State 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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| Molina Advantage (H5823-001-0) |
Molina Healthcare of Washington, Inc. | For people who are eligible for both Medicare and Medicaid. | Non-Members 1-800-665-1029 TTY Users should call: 1-877-665-4629 Members 1-800-665-1029 TTY Users should call: 1-877-665-4629 |
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| Evercare Plan IH (H5008-001-0) |
United Healthcare Insurance Company | For people in certain long-term care facilities. | Non-Members 1-866-266-0636 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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| Evercare Premier (H5008-002-0) |
United Healthcare Insurance Company | For people who are eligible for both Medicare and Medicaid. | Non-Members1-866-266-0636 TTY Users should call: 1-888-685-8480 Members 1-866-266-0636 TTY Users should call: 1-888-685-8480 |
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