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Chart of 2021 BIN and PCN values for each Medicare Part D prescription drug plan Part 5 of 5 (H8634 through S9701)

Category: Your Formulary (Drug List)
Published on 2020-08-01 10:30:58


The Centers for Medicare & Medicaid Services (CMS) released a compilation of the BIN and PCN values for each 2021 Medicare Part D plan sponsor.  Please note, the data below is Part 5 of 5 (H8634 - S9701) with links to Parts 1 through 4.

In addition, CMS included the following disclaimer in regards to this data:

"DISCLAIMER: The Centers for Medicare & Medicaid Services (CMS) has made a reasonable effort to ensure that the provided data are a true and accurate representation of the data on file at CMS at the time of disclosure. This information reflects data as reported by the Medicare Part D sponsors and has not been validated. CMS is not responsible for data that is misrepresented, misinterpreted or altered in any way."

You may also wish to read more at: "What is the BIN, PCN, and RxGROUP number for my Medicare Part D prescription drug plan?"

The chart below is the fifth page of the 2021 Medicare Part D pharmacy BIN and PCN list covering prescription drug plans from contracts H8634 through S9701.

Click here for the first page (E0654 - H2235), second page (H2237 - H3959), third page (H3962 - H5928) and fourth page (H5928 - H8634).

2021 Medicare Prescription Drug Plan Pharmacy BIN and PCN Numbers
Contract ID Contract Name Plan ID BIN PCN
H8634HEALTH CARE SERVICE CORPORATION813, 815011552MAPDILG1
H8634HEALTH CARE SERVICE CORPORATION002011552NMPARTD1
H8634HEALTH CARE SERVICE CORPORATION801, 803011552NMPARTDG
H8634HEALTH CARE SERVICE CORPORATION807, 809011552OKMAPDG
H8649AETNA HEALTH OF UTAH, INCall plans610502MEDDAET
H8655RIVERSIDE RETIREMENT SERVICES, INC.all plans022188PSTMEDD
H8677MOLINA HEALTHCARE OF CALIFORNIAall plans004336MEDDADV
H8711 all plans004336MEDDADV
H8748UNITEDHEALTHCARE INSURANCE COMPANYall plans6100979999
H8764ASPIRE HEALTH PLANall plans004758DNPS
H8768UNITEDHEALTHCARE INSURANCE CO OF THE RIVER VALLEYall plans6100979999
H8769GENESYS REGIONAL MEDICAL CENTER, INC.all plans022188PSTMEDD
H8777COMPLETE SENIOR CARE, INC.all plans018091PRSMEDD
H8783UCARE HEALTH, INC.all plans003858MD
H8786AMERIGROUP TEXAS, INC.all plans020115IS
H8797 all plans610602NVTD
H8800TOTAL SENIOR CARE, INC.all plans022188PSTMEDD
H8845MAGELLAN COMPLETE CARE OF ARIZONA, INCall plans01892708070000
H8849 all plans020115IS
H8854UNIVERSITY OF MARYLAND HEALTH ADVANTAGE, INC.all plans004336MEDDADV
H8889MEDICA HEALTH PLANS001, 002, 003, 004, 801003858MD
H8889MEDICA HEALTH PLANS005, 006999999TBD
H8908HUMANA MEDICAL PLAN OF MICHIGAN, INC.all plans01558103200000
H8916BEST CARE PARTNERS, INC.all plans004336MEDDADV
H8923 all plans004336MEDDADV
H8961 all plans004336MEDDADV
H8967GOOD SAMARITAN INSURANCE PLAN OF NORTH DAKOTA, LLCall plans610602NVTD
H9001FALLON COMMUNITY HEALTH PLANall plans004336MEDDADV
H9003KAISER FOUNDATION HP OF THE N Wall plans011230NWCMS
H9042 all plans004336MEDDADV
H9047PROVIDENCE HEALTH ASSURANCEall plans03300000012353
H9065AMH HEALTH, LLCall plans020115IS
H9066VISITING NURSE ASSOCIATION OF CENTRAL NEW YORKall plans012312PARTD
H9068ALBRIGHT CARE SERVICESall plans013170
H9070COMPBENEFITS INSURANCE COMPANYall plans01558103200000
H9082MOLINA HEALTHCARE OF NEW MEXICO, INC.all plans004336MEDDADV
H9095LONGEVITY HEALTH PLAN OF OKLAHOMA, INCall plans610602NVTD
H9096DEAN HEALTH PLAN, INC.all plans610602NVTD
H9104SCAN HEALTH PLANall plans003858MD
H9147 all plans015905HMONC
H9153WEST VIRGINIA SENIOR ADVANTAGE, INC.all plans610602NVTD
H9185A&D CHARITABLE FOUNDATION, INC.all plans022188000000
H9191 all plans012312PARTD
H9207HEALTH PARTNERS PLANS, INC.all plans004336MEDDADV
H9219 all plans020115IS
H9258 all plans004336MEDDADV
H9266PIEDMONT HEALTH SERVICES, INC.all plans0000000000000000
H9276SUNSHINE HEALTH COMMUNITY SOLUTIONS, INC.all plans004336MEDDADV
H9287HEALTH NET COMMUNITY SOLUTIONS OF ARIZONA, INC.all plans004336MEDDADV
H9302PREMERA BLUE CROSSall plans004336MEDDADV
H9323BEACON HEALTH & SOCIAL SERVICE, INCall plans000000000000
H9335 all plans004336MEDDADV
H9364WELLCARE OF MAINE, INC.all plans004336MEDDADV
H9387 all plans004336MEDDADV
H9403EON HEALTH, INC. (SC)all plans610011CTRXMEDD
H9408VIBRA HEALTH PLAN, INC.001, 005, 006004336MEDDADV
H9408VIBRA HEALTH PLAN, INC.801, 802, 805, 806, 807, 808, 809, 810610455PPOVB
H9412GEISINGER QUALITY OPTIONS, INC.all plans019587PRX11803
H9428WELLCARE HEALTH INSURANCE OF TENNESSEE, INC.all plans004336MEDDADV
H9431FIRST HEALTH LIFE & HEALTH INSURANCE COMPANYall plans610502MEDDAET
H9438BLUESTEM PACE, INC.all plans018091PRSMEDD
H9455HEALTH CHOICE UTAH, INC.all plans004336MEDDADV
H9460CIGNA HEALTHCARE OF ST LOUIS, INC.all plans017010CIMCARE
H9487MICHIGAN COMPLETE HEALTH, INC.all plans004336MEDDADV
H9489 all plans610014MEDDPRIME
H9516BRIGHT HEALTH INSURANCE COMPANY OF NEW YORKall plans012312PARTD
H9525COMPCARE HEALTH SERVICES INSURANCE CORPORATIONall plans020115IS
H9572BCBS OF MICHIGAN MUTUAL INSURANCE COMPANYall plans610014MEDDPRIME
H9576NEIGHBORHOOD HEALTH PLAN OF RHODE ISLANDall plans004336MEDDADV
H9585BOSTON MEDICAL CENTER HEALTH PLAN, INC.all plans012312PARTD
H9589EON HEALTH, INC. (GA)all plans610011CTRXMEDD
H9590LONGEVITY HEALTH PLAN OF ILLINOIS, INC.all plans610602NVTD
H9592CENTRAL VALLEY MEDICAL SERVICES CORPORATIONall plans022188PSTMEDD
H9615MVP HEALTH PLAN, INC.all plans004336MEDDADV
H9616CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDROall plans022188PSTMEDD
H9630ARKANSAS HEALTH AND WELLNESS HEALTH PLAN, INCall plans004336MEDDADV
H9646 all plans004336MEDDADV
H9662 all plans017010CIHSCARE
H9686 all plans610445AHPPARTD
H9699HMO PARTNERS, INC.all plans016895HMOAR
H9706HCSC INSURANCE SERVICES COMPANY001, 003, 004011552MAPDTX3
H9706HCSC INSURANCE SERVICES COMPANY801, 802011552MAPDTXG2
H9706HCSC INSURANCE SERVICES COMPANY002011552TXSNP2
H9712HAP MIDWEST HEALTH PLAN, INC.all plans610014MEDDPRIME
H9725CIGNA HEALTHCARE OF NORTH CAROLINA, INC.all plans017010CIMCARE
H9730WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INCall plans004336MEDDADV
H9808CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINAall plans012312PARTD
H9811MAGNOLIA HEALTH PLAN, INC.all plans004336MEDDADV
H9826COMMUNITY HEALTH CHOICE TEXAS, INC.all plans610602NVTD
H9830NEWCOURTLAND LIFE PROGRAMall plans022188PSTMEDD
H9834QUARTZ HEALTH PLAN MN CORPORATIONall plans015574ASPROD1
H9842SAINT JOSEPH PACEall plans022188PSTMEDD
H9861RELIANCE HMO, INC.all plans610011CTRXMEDD
H9869PARTNERS HEALTH PLAN, INC.all plans01958706480000
H9870UNIVERSITY HEALTH CARE, INC.all plans004336MEDDADV
H9877VIRGINIA PREMIER HEALTH PLAN, INC.all plans012312PARTD
H9878BRIGHT HEALTH INSURANCE COMPANY OF OHIO, INC.008, 009004336MEDDADV
H9878BRIGHT HEALTH INSURANCE COMPANY OF OHIO, INC.001, 002, 003, 006012312PARTD
H9909AMERICAN HEALTH PLAN OF MS, INC.all plans012312PARTD
H9917 all plans610602NVTD
H9942LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMPall plans610602NVTD
H9952MEDICA HEALTH PLANSall plans610014MNDE
H9955 all plans004336MEDDADV
H9998LUBBOCK REGIONAL MENTAL HEALTH MENTAL RETARDATIONall plans013170CLAIMCR
R0110HUMANA INSURANCE COMPANYall plans01558103200000
R0759UNITEDHEALTHCARE INSURANCE COMPANYall plans6100979999
R0802MARTIN'S POINT GENERATIONS ADVANTAGE, INC.all plans004336MEDDADV
R0865HUMANA INSURANCE COMPANYall plans01558103200000
R0923HUMANA INSURANCE COMPANYall plans01558103200000
R1390HUMANA INSURANCE COMPANYall plans01558103200000
R1532HUMANA INSURANCE COMPANYall plans01558103200000
R1548UNITEDHEALTHCARE INSURANCE CO OF THE RIVER VALLEYall plans6100979999
R2604UNITEDHEALTHCARE INSURANCE COMPANYall plans6100979999
R3175UNITEDHEALTHCARE INSURANCE COMPANYall plans6100979999
R3332BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.all plans012833MedDPrime
R3392HUMANA INSURANCE COMPANYall plans01558103200000
R3444CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.all plans6100979999
R3887HUMANA INSURANCE COMPANYall plans01558103200000
R4182HUMANA INSURANCE COMPANYall plans01558103200000
R4487ANTHEM INSURANCE COMPANIES, INC.all plans020115IS
R4845HUMANA INSURANCE COMPANYall plans01558103200000
R5329SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.all plans6100979999
R5342UNITEDHEALTHCARE INSURANCE COMPANY OF NEW YORKall plans6100979999
R5361HUMANA INSURANCE COMPANYall plans01558103200000
R5495HUMANA INSURANCE COMPANYall plans01558103200000
R5826HUMANA INSURANCE COMPANYall plans01558103200000
R5941ANTHEM INSURANCE COMPANIES, INC.all plans020115IS
R6694AETNA LIFE INSURANCE COMPANYall plans610502MEDDAET
R6801CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANYall plans6100979999
R7220HUMANA INSURANCE COMPANYall plans01558103200000
R7315HUMANA INSURANCE COMPANYall plans01558103200000
R7444UNITEDHEALTHCARE INSURANCE COMPANYall plans6100979999
S0586MVP HEALTH PLAN, INC.all plans004336MEDDADV
S0655TUFTS INSURANCE COMPANYall plans004336MEDDADV
S1030BCBS OF ALABAMA & UTIC INSURANCE COMPANYall plans014897RPD
S1140HEALTHNOW NEW YORK INC.802610014MEDDPRIME
S1140HEALTHNOW NEW YORK INC.801610014MEDDRPIME
S1822HEALTHPARTNERS, INC.all plans015574ASPROD1
S1894COMMUNITYCARE GOVERNMENT PROGRAMS, INC.all plans015789CTRXMEDD
S2465 all plans610011CTRXMED0
S2468CALIFORNIA PHYSICIANS' SERVICEall plans01235303510000
S2668MEMBERS HEALTH INSURANCE COMPANYall plans610011CTRXMEDD
S2874HUMANA INSURANCE OF PUERTO RICO, INC.all plans01558103200000
S2893ANTHEM INSURANCE CO. & BCBSMA & BCBSRI & BCBSVT802004336MADDADV
S2893ANTHEM INSURANCE CO. & BCBSMA & BCBSRI & BCBSVT001, 003, 017, 801004336MEDDADV
S3285 all plans015574ASPROD1
S3375 all plans020115IS
S3389UPMC HEALTH BENEFITS, INC.all plans003858A4
S3521EXCELLUS HEALTH PLAN, INC.all plans003858MD
S3535 all plans015574ASPROD1
S3875GRANITE ALLIANCE INSURANCE COMPANYall plans02110608053875
S3994HAWAII MEDICAL SERVICE ASSOCIATION (HMSA)all plans004336MEDDADV
S4219HEALTH ALLIANCE MEDICAL PLANSall plans015789CTRMEDD
S4501INDEPENDENT HEALTH BENEFITS CORPORATIONall plans012635NA
S4607MERIT HEALTH INSURANCE COMPANYall plans018117MRXMED
S4802WELLCARE PRESCRIPTION INSURANCE, INC.all plans004336MEDDADV
S5450SECURITYCARE OF TENNESSEE, INC.all plans610014MEDDPRIME
S5540BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINAall plans015905PDPNC
S5552HUMANA INSURANCE COMPANY OF NEW YORKall plans01558103200000
S5584BCBS OF MICHIGAN MUTUAL INSURANCE COMPANYall plans610014MEDDPRIME
S5588PARAMOUNT INSURANCE COMPANYall plans004336MEDDADV
S5593HM HEALTH INSURANCE COMPANYall plans610014MEDDPRIME
S5596ANTHEM INSURANCE COMPANIES, INC.all plans020115IS
S5601SILVERSCRIPT INSURANCE COMPANYall plans004336MEDDADV
S5609ASURIS NORTHWEST HEALTHall plans6106232110000
S5617CIGNA HEALTH AND LIFE INSURANCE COMPANY314, 315, 316, 317, 318, 319, 320, 321, 322, 323, 324, 325, 326, 327, 328, 329, 330, 331, 332, 333, 334, 335, 336, 337, 338, 339, 340, 341, 342, 343, 344, 345, 346, 347017010CIHSCARE
S5617CIGNA HEALTH AND LIFE INSURANCE COMPANY003, 008, 013, 018, 053, 068, 088, 103, 108, 113, 118, 123, 128, 133, 138, 143, 148, 153, 158, 163, 214, 215, 216, 217, 218, 219, 220, 221, 222, 223, 224, 225, 226, 227, 246, 247, 248, 249, 250, 251, 252, 253, 254, 255, 256, 257, 258, 259, 260, 261, 262, 263, 264, 265, 266, 267, 268, 269, 270, 271, 272, 273, 274, 275, 276, 277, 278, 279, 280, 281, 282, 283, 284, 285, 286, 287, 288, 289, 290, 291, 292, 293, 294, 295, 296, 297, 298, 299, 300, 301, 302, 303, 304, 305, 306, 307, 308, 309, 310, 311, 312, 313, 801, 802, 805, 806017010CIMCARE
S5660MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NYall plans610014MEDDPRIME
S5715HCSC INSURANCE SERVICES COMPANY801, 811, 817, 818, 819, 820, 821, 822011552PDGIL
S5715HCSC INSURANCE SERVICES COMPANY813011552PDGNM
S5715HCSC INSURANCE SERVICES COMPANY807, 809011552PDGOK
S5715HCSC INSURANCE SERVICES COMPANY815011552PDGTX
S5715HCSC INSURANCE SERVICES COMPANY001, 002, 012011552PDPIL
S5715HCSC INSURANCE SERVICES COMPANY003, 004, 013, 802011552PDPNM
S5715HCSC INSURANCE SERVICES COMPANY005, 006, 014, 803011552PDPTX
S5715HCSC INSURANCE SERVICES COMPANY011, 016, 01712341234123412
S5715HCSC INSURANCE SERVICES COMPANY010, 015, 018610455PDPOK
S5726BLUE CROSS AND BLUE SHIELD OF KANSASall plans020115IS
S5743WELLMARK IA & SD, & BCBS MN, MT, NE, ND,& WYall plans004336MEDDADV
S5753WISCONSIN PHYSICIANS SERVICE INSURANCE CORPORATIONall plans610014MEDDPRIME
S5768WELLCARE PRESCRIPTION INSURANCE, INC.all plans004336MEDDADV
S5795USABLE MUTUAL INSURANCE COMPANY002, 003, 008016895PDPAR
S5795USABLE MUTUAL INSURANCE COMPANY804, 809, 811, 812016895PDPARG
S5805UNITEDHEALTHCARE INSURANCE COMPANY OF NEW YORKall plans6100979999
S5810WELLCARE PRESCRIPTION INSURANCE, INC.all plans004336MEDDADV
S5820UNITEDHEALTHCARE INSURANCE COMPANYall plans6100979999
S5857PRIORITY HEALTH INSURANCE COMPANYall plans003858MD
S5877EDUCATORS MUTUAL INSURANCE ASSOCIATIONall plans610014MEDDPRIME
S5884HUMANA INSURANCE COMPANYall plans01558103200000
S5904BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.001, 002012833MedDPrime
S5904BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.801, 802012833MedDPrimeG
S5916REGENCE BLUESHIELD OF IDAHO AND REGENCE BC BS UTAH802, 804, 80561062302120001
S5916REGENCE BLUESHIELD OF IDAHO AND REGENCE BC BS UTAH001, 002, 0036106232120000
S5921UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NYall plans6100979999
S5953BLUECROSS AND BLUESHIELD OF SOUTH CAROLINAall plans021692CTRXMEDD
S5960UNICARE LIFE & HEALTH INSURANCE COMPANYall plans020115IS
S5966GROUP HEALTH INCORPORATEDall plans003858MD
S5975MODA HEALTH PLAN, INC.all plans610602NVTD
S5983MEDCO CONTAINMENT INSURANCE COMPANY OF NEW YORKall plans610014MEDDPRIME
S5993HORIZON INSURANCE COMPANY001, 003, 007016499PDPNJ
S5993HORIZON INSURANCE COMPANY801, 804, 805016499PDPNJG
S6506BLUE CROSS AND BLUE SHIELD ARIZONA, INC.all plans004336MEDDADV
S6875QCC INSURANCE COMPANYall plans610011CTRXMEDD
S6946CLEAR SPRING HEALTH INSURANCE COMPANYall plans012312PARTD
S7126OMAHA HEALTH INSURANCE COMPANYall plans610014MEDDPRIME
S7694ENVISION INSURANCE COMPANY001, 002, 003, 004, 005, 006, 007, 008, 009, 010, 011, 012, 014, 015, 016, 017, 018, 019, 020, 021, 022, 023, 024, 025, 026, 027, 028, 029, 030, 031, 032, 033, 034, 070, 105, 106, 121, 122, 123, 124, 125, 126, 127, 128, 129, 130, 131, 132, 133, 134, 135, 136, 137, 801, 802, 808012312PartD
S7694ENVISION INSURANCE COMPANY803, 804, 805, 806, 807015185CMSPARTD
S8067AVALON INSURANCE COMPANY001, 003610455CAPPDP
S8067AVALON INSURANCE COMPANY801, 802, 803, 804, 805, 806, 807, 808610455CAPPDPG
S8182AMERIGROUP INSURANCE COMPANYall plans020115IS
S8677 all plans01235303300000
S8841OPTUM INSURANCE OF OHIO, INC.all plans610011CTRXMEDD
S9325 all plans012312PARTD
S9701DEAN HEALTH INSURANCE, INC.all plans610602EGWP


The above chart is the fifth page of the 2021 Medicare Part D pharmacy BIN and PCN list (H8634 - S9701).

Click here for the first page (E0654 - H2235), second page (H2237 - H3959), third page (H3962 - H5928) and fourth page (H5928 - H8634).






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Tips & Disclaimers
  • 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 PDP-Compare.com and MA-Compare.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.
  • 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.