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

Washington Medicare; WA; Medicare Part D in Washington

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

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

Information from varied resources about Medicare in Washington
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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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.
.
Medicare brochure or publication:7 Steps to understanding Medicare’s new prescription drug program January 2006 (Washington)

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 Web Page:
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
.
Medicare Web Page:
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"
.
Medicare brochure or publication:
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...."
.
Medicare Web Page:
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
.
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 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.
.
Medicare brochure or publication:
State Pharmacy Listing - Aetna Medicare RxSM Plans - Oregon / Washington State

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 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."

How to get more information about New Hampshire 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 Washington State, 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.

 
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.)
Plan Name and
ID Numbers
Company
(w. link to
plan web site)
Coverage in
the Gap
About the gap
Contact Service
Phones
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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

 
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
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
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
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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