| The Medicare Project a consumer's guide to West 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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| Medicare West Virginia help & articles | Who Offers West Virginia Medicare Prescription Drug Plans? | The Medicare Project (Home) | West Virginia MEDICAID help |
West Virginia Medicare, West 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 West Virginia Medicare help and information
resources. |
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Medicare brochure or publication: WEST VIRGINIA MEDICAID FACT SHEET source: West Virginia - Bureau for Medical Services 2 pages; languages: English from the publication: MEDICARE MODERNIZATION ACT (MMA) PART D – PHARMACY COVERAGE Revised December 18, 2005 (Medicare Prescription Drug Plan Finder source:West Virginia Bureau of Senior Services languages: English Find and compare plans for all states, including West Virginia Medicare Prescription Drug plans more from West Virginia Bureau of Senior Services: Medicare web page: (West Virginia) Medicare (SHIP) 2 languages: English from the web page: WV SHIP provides assistance to Medicare beneficiaries through personal counseling sessions, by telephone, group presentations, and through the media. The Right Care for Every Patient Every Time source:West Virginia Medical Institute file size:5 pg. languages: English from the web page: "WVMI's health care quality improvement projects are funded by the Centers for Medicare & Medicaid Services (CMS) to protect the rights and health of West Virginians with Medicare. We are dedicated to helping you get the best possible care from your Medicare health care providers. Our services are free..." West 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...." West Virginia: Medicare Prescription Drug Plan (PDP) Premiums, 2007 source:Kaiser Family Foundation / statehealthfacts.org languages: English from the web page: "...Beneficiaries can join a prescription drug plan (PDP) for drug coverage only and get their other Medicare benefits through the fee-for-service program, as the majority of people with Medicare currently do. Alternatively they can join a Medicare Advantage (MA) plan..." 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 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: State Pharmacy Listing - Aetna Medicare RxSM Plans - Pennsylvania / West Virginia 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. Medicare & You 2007 (West Virginia specific version) source: U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, Centers for Medicare & Medicaid Services 140pp languages: English and Spanish from www.medicare.gov: "Medicare & You 2007... contains important information about what’s new, health plans, prescription drug plans, and rights and protections to help people with Medicare review their coverage options and prepare to enroll in a new plan if they choose. These files are ... the printed version that people with Medicare will get in the mail this fall. Plan information contained in each book may change after printing." Lanscape: 2007 West Virginia 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 West 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." Medicare brochure or publication: Landscape: West Virginia Medicare Advantage, Cost Plans, and Demonstrations source:CENTERS FOR MEDICARE & MEDICAID SERVICES file size:20 pg. languages: English "West 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." |
| 52 Prescription Drug Plans in West Virginia 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 |
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| AARP MedicareRx Plan (S5820-005) |
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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| Advantage Freedom Plan (S5644-051) |
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 (S5644-072) |
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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| AdvantraRx Premier (S5670-034) |
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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| AdvantraRx Premier Plus (S5670-036) |
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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| AdvantraRx Value (S5670-033) |
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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| Aetna Medicare Rx Essentials (S5810-040) |
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 (S5810-142) |
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 (S5810-176) |
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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| AmeriHealth Advantage Rx Option l (S2770-001) |
AmeriHealth Advantage | No gap coverage | Non-Members 1-866-456-1694 TTY Users should call: 1-866-456-1963 Members 1-888-457-3007 TTY Users should call: 1-888-457-3007 |
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| AmeriHealth Rx Option 1 (S2321-001) |
AmeriHealth Advantage | No gap coverage | Non-Members 1-866-456-1689 TTY Users should call: 1-866-456-1683 Members 1-888-678-7007 TTY Users should call: 1-888-678-7007 |
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| AmeriHealth Rx Option ll (S2321-002) |
AmeriHealth Advantage | No gap coverage | Non-Members 1-866-456-1689 TTY Users should call: 1-866-456-1683 Members 1-888-678-7007 TTY Users should call: 1-888-678-7007 |
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| AmeriHealth Rx Option lll (S2321-003) |
AmeriHealth Advantage | Generic Only | Non-Members 1-866-456-1689 TTY Users should call: 1-866-456-1683 Members 1-888-678-7007 TTY Users should call: 1-888-678-7007 |
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| BlueRx Basic (S5593-001) |
Highmark Senior Resources Inc. | No gap coverage | Non-Members 1-866-465-4030 TTY Users should call: 1-800-988-0668 Members 1-800-290-3914 TTY Users should call: 1-800-290-3914 |
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| BlueRx Complete (S5593-003) |
Highmark Senior Resources Inc. | Generic Only | Non-Members 1-866-465-4030 TTY Users should call: 1-800-988-0668 Members 1-800-290-3914 TTY Users should call: 1-800-290-3914 |
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| BlueRx Plus (S5593-002) |
Highmark Senior Resources Inc. | No gap coverage | Non-Members 1-866-465-4030 TTY Users should call: 1-800-988-0668 Members 1-800-290-3914 TTY Users should call: 1-800-290-3914 |
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| CIGNATURE Rx Complete Plan (S5617-176) |
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 (S5617-030) |
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 (S5617-028) |
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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| Community Care Rx BASIC (S5803-075) |
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 (S5803-143) |
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 (S5803-109) |
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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| First Health Premier (S5768-009) |
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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| Humana PDP Complete S5884-034 (S5884-034) |
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 S5884-005 (S5884-005) |
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 S5884-064 (S5884-064) |
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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| MedicareRx Rewards (S5960-006) |
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 (S5960-042) |
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 (S5960-076) |
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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| PacifiCare Comprehensive Plan (S5921-093) |
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 (S5921-092) |
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 (S5921-091) |
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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| Prescription Pathway Bronze Plan Reg 6 (S5597-071) |
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 6 (S5581-026) |
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 Gold Plan Reg 6 (S5597-038) |
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 6 (S5825-020) |
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 Platinum Plan Reg 6 (S5581-050) |
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 6 (S5825-034) |
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 6 (S5581-122) |
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 6 (S5597-170) |
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 PlanReg 6 (S5825-076) |
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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| SecureRx (S8067-001) |
Avalon Insurance Company | No gap coverage | Non-Members 1-888-839-7330 TTY Users should call: 1-800-779-6961 Members 1-877-234-3853 TTY Users should call: 1-877-234-3853 |
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| SilverScript (S5601-012) |
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 (S5601-013) |
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 (S4802-003) |
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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| UA Medicare Part D Prescription Drug Cov (S5755-009) |
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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| United Medicare MedAdvance (S5820-109) |
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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| UPMC for Life Prescription Drug Plan (S3389-005) |
UPMC Health Plan | No gap coverage | Non-Members 1-877-381-3765 TTY Users should call: 1-800-361-2629 Members 1-877-539-3080 TTY Users should call: 1-877-539-3080 |
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| WellCare Complete (S5967-074) |
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 (S5967-109) |
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 (S5967-040) |
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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| YOURx PLAN (S5660-005) |
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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