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2008 Stand-Alone Medicare Part D Prescription Drug Plans
This is archive material for research purposes. Please see PDPFinder.com or MAFinder.com for current plans.
PDP-Finder shows basic details for all 2008 Medicare Part D prescription drug plans.<

Not sure where to begin? Just "click" on your state to see all 2008 Medicare Part D plans:

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There are 33 California 2008 stand-alone Medicare Part D plans meeting your criteria.

Caution: The 2008 Medicare Part D plan information below is for research purposes.
Click here to see 2025 Medicare Part D plans
2008 Medicare Part D Plan Information
Click here to jump to the Chart Legend & Search Tips
Plan Name Monthly
Prem.		 Deduct-
ible		(Donut Hole)
Gap
Coverage		 $0 Prem.
with Full
LIS?		 Preferred Pharmacy
Copay/
Coinsurance
30-Day Supply		 Members In This State
Cust.
Service
Rating		 Member
Plan
Exper.		 RxCost
Info
Rating
MedicareRx Rewards Value - S5960-032
Benefit Details 		$18.20 $0No Gap CoverageYescost-sharing data not available.60,771
MedicareRx Rewards Value - S5960-032 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) MedicareRx Rewards Value - S5960-032 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
First Health Part D-Premier - S5768-082
Benefit Details 		$19.60 $0No Gap CoverageYescost-sharing data not available.
First Health Part D-Premier - S5768-082 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) First Health Part D-Premier - S5768-082 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Plan Name Monthly
Prem.		 Deduct-
ible		 Gap
Coverage		$0 Prem
LIS?		 Preferred Pharmacy
Copay/
Coinsurance		 State Members
Service Exper. Cost Info
AdvantraRx Value - S5674-056
Benefit Details 		$20.70 $0No Gap CoverageNocost-sharing data not available.1,718
AdvantraRx Value - S5674-056 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) AdvantraRx Value - S5674-056 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Advantage Freedom Plan by RxAmerica - S5644-064
Benefit Details 		$21.70 $0No Gap CoverageNocost-sharing data not available.3,140
Advantage Freedom Plan by RxAmerica - S5644-064 Medicare Part D Plan Customer Service Rating - 3 Stars (Average) Advantage Freedom Plan by RxAmerica - S5644-064 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
WellCare Signature - S5967-066
Benefit Details 		$23.60 $0No Gap CoverageNocost-sharing data not available.139,659
WellCare Signature - S5967-066 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) WellCare Signature - S5967-066 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Plan Name Monthly
Prem.		 Deduct-
ible		 Gap
Coverage		$0 Prem
LIS?		 Preferred Pharmacy
Copay/
Coinsurance		 State Members
Service Exper. Cost Info
Humana PDP Enhanced S5884-030 - S5884-030
Benefit Details 		$26.40 $0No Gap CoverageNocost-sharing data not available.47,283
Humana PDP Enhanced S5884-030 - S5884-030 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) Humana PDP Enhanced S5884-030 - S5884-030 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
SierraRx - S5917-008
Benefit Details 		$26.80 $0No Gap CoverageNocost-sharing data not available.111,549
SierraRx - S5917-008 Medicare Part D Plan Customer Service Rating - 3 Stars (Average) SierraRx - S5917-008 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
AARP MedicareRx Preferred - S5820-031
Benefit Details 		$28.60 $0No Gap CoverageNocost-sharing data not available.150,594
AARP MedicareRx Preferred - S5820-031 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) AARP MedicareRx Preferred - S5820-031 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Plan Name Monthly
Prem.		 Deduct-
ible		 Gap
Coverage		$0 Prem
LIS?		 Preferred Pharmacy
Copay/
Coinsurance		 State Members
Service Exper. Cost Info
Prescription Pathway Gold Plan Reg 32 - S5597-064
Benefit Details 		$30.00 $0No Gap CoverageNocost-sharing data not available.932
Prescription Pathway Gold Plan Reg 32 - S5597-064 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) Prescription Pathway Gold Plan Reg 32 - S5597-064 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Health Net Orange Option 2 - S5678-008
Benefit Details 		$30.20 $0No Gap CoverageNocost-sharing data not available.25,607
Health Net Orange Option 2 - S5678-008 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) Health Net Orange Option 2 - S5678-008 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Blue Cross MedicareRx Plus - S5596-034
Benefit Details 		$31.30 $0No Gap CoverageNocost-sharing data not available.32,000
Blue Cross MedicareRx Plus - S5596-034 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) Blue Cross MedicareRx Plus - S5596-034 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Plan Name Monthly
Prem.		 Deduct-
ible		 Gap
Coverage		$0 Prem
LIS?		 Preferred Pharmacy
Copay/
Coinsurance		 State Members
Service Exper. Cost Info
SilverScript Plus - S5601-065
Benefit Details 		$31.40 $0All GenericsNocost-sharing data not available.287
SilverScript Plus - S5601-065 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) SilverScript Plus - S5601-065 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
AdvantraRx Premier - S5674-057
Benefit Details 		$34.40 $0No Gap CoverageNocost-sharing data not available.2,481
AdvantraRx Premier - S5674-057 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) AdvantraRx Premier - S5674-057 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
CIGNA Medicare Rx Plan Two - S5617-160
Benefit Details 		$35.10 $0No Gap CoverageNocost-sharing data not available.1,687
CIGNA Medicare Rx Plan Two - S5617-160 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) CIGNA Medicare Rx Plan Two - S5617-160 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Plan Name Monthly
Prem.		 Deduct-
ible		 Gap
Coverage		$0 Prem
LIS?		 Preferred Pharmacy
Copay/
Coinsurance		 State Members
Service Exper. Cost Info
SilverScript Complete - S5601-103
Benefit Details 		$37.00 $0All GenericsNocost-sharing data not available.267
SilverScript Complete - S5601-103 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) SilverScript Complete - S5601-103 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Medco Medicare Prescription Plan - Choice - S5660-032
Benefit Details 		$37.30 $0No Gap CoverageNocost-sharing data not available.3,032
Medco Medicare Prescription Plan - Choice - S5660-032 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) Medco Medicare Prescription Plan - Choice - S5660-032 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
UnitedHealth Rx Basic - S5921-002
Benefit Details 		$40.90 $0No Gap CoverageNocost-sharing data not available.11,511
UnitedHealth Rx Basic - S5921-002 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) UnitedHealth Rx Basic - S5921-002 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Plan Name Monthly
Prem.		 Deduct-
ible		 Gap
Coverage		$0 Prem
LIS?		 Preferred Pharmacy
Copay/
Coinsurance		 State Members
Service Exper. Cost Info
Community CCRx Choice - S5803-169
Benefit Details 		$41.20 $0No Gap CoverageNocost-sharing data not available.2,874
Community CCRx Choice - S5803-169 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) Community CCRx Choice - S5803-169 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
UA Medicare Part D Prescription Drug Cov - S5755-035
Benefit Details 		$41.90 $0No Gap CoverageNocost-sharing data not available.10,564
UA Medicare Part D Prescription Drug Cov - S5755-035 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) UA Medicare Part D Prescription Drug Cov - S5755-035 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Blue Shield Medicare Rx Enhanced Plan - S2468-001
Benefit Details 		$42.30 $0No Gap CoverageNocost-sharing data not available.18,285
Blue Shield Medicare Rx Enhanced Plan - S2468-001 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) Blue Shield Medicare Rx Enhanced Plan - S2468-001 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Plan Name Monthly
Prem.		 Deduct-
ible		 Gap
Coverage		$0 Prem
LIS?		 Preferred Pharmacy
Copay/
Coinsurance		 State Members
Service Exper. Cost Info
First Health Part D-Select - S5768-079
Benefit Details 		$42.30 $0All Preferred GenericsNocost-sharing data not available.36
First Health Part D-Select - S5768-079 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) First Health Part D-Select - S5768-079 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Advantage Allegiance Plan by RxAmerica - S5644-317
Benefit Details 		$42.50 $0All Preferred GenericsNocost-sharing data not available.
Advantage Allegiance Plan by RxAmerica - S5644-317 Medicare Part D Plan Customer Service Rating - 3 Stars (Average) Advantage Allegiance Plan by RxAmerica - S5644-317 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Community CCRx Gold - S5803-249
Benefit Details 		$42.50 $0All GenericsNocost-sharing data not available.1,774
Community CCRx Gold - S5803-249 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) Community CCRx Gold - S5803-249 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Plan Name Monthly
Prem.		 Deduct-
ible		 Gap
Coverage		$0 Prem
LIS?		 Preferred Pharmacy
Copay/
Coinsurance		 State Members
Service Exper. Cost Info
Aetna Medicare Rx Plus - S5810-168
Benefit Details 		$43.00 $0No Gap CoverageNocost-sharing data not available.1,016
Aetna Medicare Rx Plus - S5810-168 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) Aetna Medicare Rx Plus - S5810-168 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
AdvantraRx Premier Plus - S5674-059
Benefit Details 		$46.80 $0All Preferred GenericsNocost-sharing data not available.3,437
AdvantraRx Premier Plus - S5674-059 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) AdvantraRx Premier Plus - S5674-059 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Blue Cross MedicareRx Gold - S5596-035
Benefit Details 		$59.00 $0Some GenericsNocost-sharing data not available.64,747
Blue Cross MedicareRx Gold - S5596-035 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) Blue Cross MedicareRx Gold - S5596-035 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Plan Name Monthly
Prem.		 Deduct-
ible		 Gap
Coverage		$0 Prem
LIS?		 Preferred Pharmacy
Copay/
Coinsurance		 State Members
Service Exper. Cost Info
Prescription Pathway Platinum Plan Reg 32 - S5597-229
Benefit Details 		$63.60 $0All GenericsNocost-sharing data not available.340
Prescription Pathway Platinum Plan Reg 32 - S5597-229 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) Prescription Pathway Platinum Plan Reg 32 - S5597-229 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
AARP MedicareRx Enhanced - S5921-003
Benefit Details 		$66.80 $0All Preferred GenericsNocost-sharing data not available.7,941
AARP MedicareRx Enhanced - S5921-003 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) AARP MedicareRx Enhanced - S5921-003 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
CIGNA Medicare Rx Plan Three - S5617-202
Benefit Details 		$67.90 $0Some GenericsNocost-sharing data not available.856
CIGNA Medicare Rx Plan Three - S5617-202 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) CIGNA Medicare Rx Plan Three - S5617-202 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Plan Name Monthly
Prem.		 Deduct-
ible		 Gap
Coverage		$0 Prem
LIS?		 Preferred Pharmacy
Copay/
Coinsurance		 State Members
Service Exper. Cost Info
Medco Medicare Prescription Plan - Access - S5660-202
Benefit Details 		$69.50 $0All GenericsNocost-sharing data not available.
Medco Medicare Prescription Plan - Access - S5660-202 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) Medco Medicare Prescription Plan - Access - S5660-202 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Aetna Medicare Rx Premier - S5810-202
Benefit Details 		$98.80 $0All GenericsNocost-sharing data not available.3,355
Aetna Medicare Rx Premier - S5810-202 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) Aetna Medicare Rx Premier - S5810-202 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
EnvisionRxPlus Gold - S7694-066
Benefit Details 		$99.50 $0All Preferred GenericsNocost-sharing data not available.1,409
EnvisionRxPlus Gold - S7694-066 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) EnvisionRxPlus Gold - S7694-066 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Plan Name Monthly
Prem.		 Deduct-
ible		 Gap
Coverage		$0 Prem
LIS?		 Preferred Pharmacy
Copay/
Coinsurance		 State Members
Service Exper. Cost Info
Humana PDP Complete S5884-060 - S5884-060
Benefit Details 		$102.70 $0All Preferred GenericsNocost-sharing data not available.10,909
Humana PDP Complete S5884-060 - S5884-060 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) Humana PDP Complete S5884-060 - S5884-060 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
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Chart Legend:

Below are a few notes to help with the understanding of the 2008 Medicare Part D Prescription Drug Plan chart above and Search Tips to help you narrow down your list of plans to those that best meet your needs.



A few notes to help with the understanding of the 2008 Medicare Part D Plan chart above.
  • Plan Name: This is the official plan name from the Centers for Medicare and Medicaid Services (CMS). The same plan name generally has a different plan id in each state.
  • CMS Plan Ratings: these are found under the Plan Name at the left side of the chart.

    This is a one to 5 star rating system with five (5) stars as excellent, four (4) stars as very good, three (3) stars as good, two (2) stars as fair and one (1) star as poor.

    Cust. Service Rating - Drug Plan Customer Service - Medicare and members rate the drug plan and how well a drug plan provides customer service.

    This category includes measures of how drug plans rate on the following areas:
    • Time members and pharmacists are on hold when they call the drug plan’s customer call centers and pharmacy help desk.
    • Calls disconnected by the drug plan’s customer call center and pharmacy help desk.
    • Complaints Medicare has received about the drug plan.
    • Members’ satisfaction related to getting help from the drug plan and their overall rating of the drug plan.
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    Filling a Rx Rating - Using Your Plan To Get Your Prescriptions Filled - This category shows how well drug plans make prescription drugs available to their members.

    This category includes measures of how drug plans rate on the following areas:
    • Plan members’ ability to get prescriptions filled easily.
    • Enrollment information the drug plan shares with pharmacists when a member needs a prescription filled.
    • Information Medicare and the drug plan have about plan members who qualify for extra help.
    • Complaints Medicare has received about the drug plan’s benefits and access to prescription drugs. These complaints include situations where your drug plan membership card doesn’t work at the pharmacy, or a pharmacy is listed incorrectly on Medicare’s website.
    • Complaints Medicare has received about joining and leaving the drug plan. These complaints include situations where you don’t receive enrollment materials (like your membership card) from your drug plan, or you have difficulty switching to a new drug plan.
    • How often a plan failed to make a timely appeals decision. Appeals are special kinds of requests you file when you disagree with certain decisions made by the drug plan about getting a prescription filled.
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    RxCost Info Rating - This category shows how well drug plans are doing with pricing prescriptions and providing information on the Medicare website.

    This category includes measures of how drug plans rate on the following areas:
    • Availability of drug coverage and cost information from the drug plan and how often the plan’s drug prices change on the Medicare website.
    • Complaints Medicare has received about pricing and out-of-pocket costs. These complaints include situations where you were charged the wrong price for a prescription, or the wrong plan premium amount was deducted from your Social Security check.
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  • Monthly Premium: This is the amount you must pay each month to use the plan. This monthly premium must be paid even if you are in the initial deductible phase or the coverage gap (donut hole) phase.

  • Deductible: This is the $275 deductible that was presented in the CMS Standard Plan. Many provider's plans do not have a deductible, however the premium may be higher.

  • Gap Coverage: the Donut Hole: In the CMS Standard Plan, the beneficiary must pay the next $3216.25 in drug costs (the Donut Hole). Many provider's plans cover the costs that fall into this category for an additional premium. In our chart, you will see one of the following:
    • No Gap Coverage: you must pay the $3216.25;

    • Some Generics, All Preferred Generics, All Generics : Various Generics are covered, but you must pay for Brand Drugs up to $3216.25;

    • All Generic & Some Brands: One regional plan, only available in Florida covers all Generics and some of the Brands.

  • $0 Premium with Full LIS - Does the plan Qualify for $0 Premium with Full Low-Income Subsidy?: If Yes is in the field, then you would pay a $0 premium if you have a Full Low-Income Subsidy (LIS). If No is in the field, then you would be responsible for the difference between what the state provides as the Full Low-Income Subsidy and the actual cost of the plan even if you have a Full Low-Income Subsidy.

  • Plan ID: This is the unique id for this particular plan.
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  • Copay / Coinsurance - Cost Sharing - These figures apply to the initial coverage phase of your plan. This is the phase after the initial deductible has been met and before you reach the Coverage Gap (Donut Hole). Plans often cover drugs in "tiers". Tiers are specific to the list of drugs covered by the plan. Plans may have several tiers, and the copay for a drug depends on the drug’s tier. Plans can form their own tiers, so you should contact the plan or reference it's summary of benefits to find out what copays and limitations are associated with each tier. These cost sharing figures DO NOT necessarily apply to the Coverage Gap. The plan may have a separate copay/coinsurance for the same drug while in the Coverage Gap.
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  • Plan Enrollment Figures - Currently we are showing the 2007 Medicare Part D plan enrollment figures (statistics) from July 2007. 2008 Enrollment Figures will be shown starting February 2008 and updated in July 2008. The enrollment statistics are split into three numbers
    • In This State - This figure is the 2007 Medicare Part D plan enrollment statistic for this plan in this particular CMS region. In 25 of the 34 regions there is only one state, however some states are combined with others to form a region. Most notably, region 25 is made up of IA, MN, MT, NE, ND, SD, and WY. The enrollment that you see reported for any of these states is the combined enrollment for all of these states. The enrollment figures are reported by Medicare per Plan ID.
    • Avg All States - This figure is the statistical average for this plan across all regions. This figure is approximate due to the fact that any region/plan enrollment under 10 enrollees is not reported.
    • Total All States - This figure is the total count of enrollees in this plan across all regions. This figure is approximate due to the fact that any region/plan enrollment under 10 enrollees is not reported.
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(Chart Source: Centers for Medicare and Medicaid files: 2008LandscapeSourceData_PDP_09_25_07.xls, AnnualReportByPlan_Jul 2007_06262007.xls and Medicare.gov website plan finder.)

Please note: The above plan information comes from CMS. We make every attempt to keep our information up-to-date with plan/premium changes. However, we cannot guarantee the accuracy of this information. Through the application process we will provide you with the most up-to-the-minute information/pricing.


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Tips & Disclaimers
  • Q1Medicare®, Q1Rx®, and Q1Group® are registered Service Marks of Q1Group LLC and may not be used in any advertising, publicity, or for commercial purposes without the express authorization of Q1Group.
  • The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change.
  • Medicare has neither reviewed nor endorsed the information on our site.
  • We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. For more information on your Medicare coverage, please be sure to seek legal, medical, pharmaceutical, or financial advice from a licensed professional or telephone Medicare at 1-800-633-4227.
  • We are an independent education, research, and technology company. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. We are not compensated for Medicare plan enrollments. We do not sell leads or share your personal information.
  • Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Our PDPCompare.com and MACompare.com provide highlights of annual plan benefit changes.
  • The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan.
  • Limitations, copayments, and restrictions may apply.
  • We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. However, since our data is provided by Medicare, it is possible that this may not be a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.
    Statement required by Medicare:
    "We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options."
  • When enrolling in a Medicare Advantage plan, you must continue to pay your Medicare Part B premium.
  • Medicare beneficiaries with higher incomes may be required to pay both a Medicare Part B and Medicare Part D Income Related Monthly Adjustment Amount (IRMAA). Read more on IRMAA.
  • Medicare Advantage plans that include prescription drug coverage (MAPDs) are considered Medicare Part D plans and members with higher incomes may be subject to the Medicare Part D Income Related Monthly Adjustment Amount (IRMAA), just as members in stand-alone Part D plans. In certain situations, you can appeal IRMAA.
  • You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. Members may enroll in a Medicare Advantage plan only during specific times of the year. Contact the Medicare plan for more information.
  • If you are enrolled in a Medicare plan with Part D prescription drug coverage, you may be eligible for financial Extra Help to assist with the payment of your prescription drug premiums and drug purchases. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1-800-325-0778; or your state Medicaid Office.
  • Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next.
  • A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. Providers who do not contract with the plan are not required to see you except in an emergency.
  • Disclaimer for Institutional Special Needs Plan (SNP): This plan is available to anyone with Medicare who meets the Skilled Nursing Facility (SNF) level of care and resides in a nursing home.
  • Disclaimer for Dual Eligible (Medicare/Medicaid) Special Needs Plan (SNP): This plan is available to anyone who has both Medical Assistance from the State and Medicare. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.
  • Disclaimer for Chronic Condition Special Needs Plan (SNP): This plan is available to anyone with Medicare who has been diagnosed with the plan specific Chronic Condition.
  • Medicare MSA Plans combine a high deductible Medicare Advantage Plan and a trust or custodial savings account (as defined and/or approved by the IRS). The plan deposits money from Medicare into the account. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins.
  • Medicare MSA Plans do not cover prescription drugs. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan
  • There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. Those who disenroll during the calendar year will owe a portion of the account deposit back to the plan. Contact the plan provider for additional information.
  • Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at www.medicare.gov.
  • Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days or using the medicare.gov site. Beneficiaries can appoint a representative by submitting CMS Form-1696.
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