|
CalOptima
|
One Care
1120 W. La Veta Avenue
Orange, CA 92868
1-877-412-2734
1-714-246-8496 (TTY/TDD)
Web address:
www.caloptima.org
Plan status: Approved by Medicare
|
|
Total Premium:
|
$22.79/month ($273.48/year)
(free for low income individuals)
|
|
Total
annual deductible:
|
$250
|
|
Pharmacy:
|
FVMCP OK
|
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|
|
AARP
United Healthcare
|
AARP
MedicareRx Plan, United MedicareRx
P.O. Box 29300
Hot Springs, AR 71903
1-888-867-5564
1-877-730-4192 (TTY/TDD)
Web address:
www.AARPMedicareRx.com
Plan status: Approved by Medicare
|
|
Total
Premium:
|
$23.22/month
($278.64/year)
|
|
Total
annual deductible:
|
$0
|
|
Pharmacy:
|
FVMCP,
FVCCP OK
|
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|
|
Rx
America
|
Advantage
Freedom Plan, Advantage Star Plan
221 N. Charles Lindbergh Dr.
SLC, UT 84116
1-877-279-0370
Web address:
www.Meds4Medicare.com
Plan status: Approved by Medicare
|
|
Total
Premium:
|
$29.57/month
($354.84/year) Freedom
$26.90/month ($322.80/year) Star
|
|
Total
annual deductible:
|
$250
|
|
Pharmacy:
|
FVMCP
OK
|
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|
|
Coventry
Advantra Rx
|
AdvantraRx
Premier, AdvantraRx Premier Plus, Advantra Rx Value
P.O. Box 686007
San Antonio, TX 78268
1-800-882-3822
1-800-508-9548 (TTY/TDD)
Web address:
www.advantrarx.com
Plan status: Approved by Medicare
|
|
Total
Premium:
|
$31.45/month
($377.40/year) Premier
$40.54/month ($486.48/year) Premier Plus
$19.30/month ($231.60/year) Value
|
|
Total
annual deductible:
|
$0
|
|
Pharmacy
network:
|
FVMCP,
FVCCP OK
|
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|
|
Aetna
|
Aetna
Medicare Rx Essentials, Aetna Medicare Rx Plus, Aetna Medicare Rx
Premier
980 Jolly Road
Blue Bell, PA 19422
1-800-445-1796
1-800-628-3323 (TTY/TDD)
Web address:
www.aetnamedicare.com
Plan status: Approved by Medicare
|
|
Total
Premium:
|
$27.50/month
($330.00/year) Essentials
$36.94/month ($443.28/year) Plus
$51.84/month ($622.08/year) Premier
|
|
Total
annual deductible:
|
$250 Essentials
$0 Plus, Premier
|
|
Pharmacy:
|
FVMCP
OK
|
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|
|
|
Blue
Cross
|
Blue
Cross MedicareRx Gold, MedicareRx Plus, MedicareRx Value
P.O. Box 9092
Oxnard, CA 93031
1-866-892-5340
Web address: www.bmedicarerx.com
www.bluecrosscamedicarerx.com
Plan status: Approved by Medicare
|
|
Total
Premium:
|
$35.29/month
($423.48/year) Gold
$28.56/month ($342.72/year) Plus
$20.04/month ($240.48/year) Value
|
|
Total
annual deductible:
|
$0 Gold, Plus
$250 Value
|
|
Pharmacy:
|
FVMCP,
FVCCP OK
|
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|
|
Blue
Shield
|
Blue
Shield of California Medicare Rx Plan1, Plan2
6300 Canoga Ave
Woodland Hills, CA 91367
1-800-488-8000
1-888-595-0000 (TTY/TDD)
Web address:
www.mylifepath.com
Plan status: Approved by Medicare
|
|
Total
Premium:
|
$32.67/month
($392.04/year) Plan1
$31.66/month ($379.92/year) Plan2
|
|
Total
annual deductible:
|
$0 Plan1
$250 Plan2
|
|
Pharmacy:
|
FVMCP,
FVCCP OK
|
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|
|
Cigna
|
CIGNATURE
Rx Complete Plan, CIGNATURE Rx Plus, CIGNATURE Rx Value
13650 NW 8th St
Sunrise, FL 33325
1-800-735-1459
Web address:
www.cignature-rx.com
Plan status: Approved by Medicare
|
|
Total
Premium:
|
$42.63/month
($511.56/year) Complete
$35.91/month ($430.92/year) Plus
$30.37/month ($364.44/year) Value
|
|
Total
annual deductible:
|
$0 Complete, Plus
$250 Value
|
|
Pharmacy:
|
FVMCP
OK
|
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|
|
Community
Care
|
Community
Care Rx BASIC, CHOICE, GOLD
1 CSC WAY
Rensselaer, NY 12144
1-866-684-5353
1-866-684-5351 (TTY/TDD)
Web address:
www.communitycarerx.com
Plan status: Approved by Medicare
|
|
Total
Premium:
|
$26.87/month
($322.44/year) Basic
$34.92/month ($419.04/year) Choice
$38.98/month ($467.76/year) Gold
|
|
Total
annual deductible:
|
$250 Basic, Choice
$100 Gold
|
|
Pharmacy:
|
FVMCP,
FVCCP OK |
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|
|
Health
Net
|
Health
Net Orange Plan2, Plan8
P.O. Box
10198
Van Nuys, CA 91410
1-800-935-6565
1-800-929-9955 (TTY/TDD)
Web address:
www.healthnet.com
Plan status: Approved by Medicare
|
|
Total
Premium:
|
$17.65/month
($211.80/year) Plan2
$21.99/month ($263.88/year) Plan8
|
|
Total
annual deductible:
|
$0
|
|
Pharmacy:
|
FVMCP,
FVCCP OK
|
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|
|
Humana
|
Humana
PDP Complete, Enhanced, Standard
500 West Main Street
Louisville, KY 40202
1-800-706-0872
1-877-833-4486 (TTY/TDD)
Web address:
www.humana.com
Plan status: Approved by Medicare
|
|
Total
Premium:
|
$50.91/month
($610.92/year) Complete
$11.25/month ($135.00/year) Enhanced
$5.41/month ($64.92/year) Standard
|
|
Total
annual deductible:
|
$0 Complete, Enhanced
$250 Standard
|
|
Pharmacy:
|
FVMCP
OK
|
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|
|
Unicare
|
MedicareRx
Rewards, Rewards Plus, Rewards Premier
P.O. Box 9092
Oxnard, CA 93031
1-866-892-5335
Web address:
www.unicare.com
Plan status: Approved by Medicare
|
|
Total
Premium:
|
$20.04/month
($240.48/year) Rewards
$28.56/month ($342.72/year) Rewards Plus
$38.07/month ($456.84/year) Rewards Premier
|
|
Total
annual deductible:
|
$250 Rewards
$0 Rewards Plus, Rewards Premier
|
|
Pharmacy:
|
FVMCP,
FVCCP OK
|
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|
|
Pacificare
|
PacifiCare
Comprehensive Plan, Saver Plan, Select Plan
P.O. Box 6085
Cypress, CA 90630
1-800-943-0399
Web address:
www.prescriptionsolutions.com
Plan status: Approved by Medicare
|
|
Total
Premium:
|
$37.67/month
($452.04/year) Comprehensive
$20.40/month ($244.80/year) Saver
$34.14/month ($409.68/year) Select
|
|
Total
annual deductible:
|
$0
|
|
Pharmacy:
|
FVMCP,
FVCCP OK
|
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|
|
Pennsylvania
Life Insurance
|
Prescription
Pathway Bronze Plan, Gold Plan
PO Box
1232
Pensacola, FL 32591
1-800-765-8900
1-866-222-3904 (TTY/TDD)
Web address:
www.RxPathway.com
Plan status: Approved by Medicare
|
|
Total
Premium:
|
$28.52/month
($342.24/year) Bronze
$49.56/month ($594.72/year) Gold
$37.99/month ($455.88/year) Silver
|
|
Total
annual deductible:
|
$250 Bronze, Silver
$0 Gold
|
|
Pharmacy:
|
FVMCP,
FVCCP OK
|
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|
|
Marquette
National Life Insurance
|
Prescription
Pathway Gold Plan, Platinum Plan, Silver Plan
PO Box 1232
Pensacola, FL 32591
1-800-845-2551
1-866-222-3904 (TTY/TDD)
Web address:
www.RxPathway.com
Plan status: Approved by Medicare
|
|
Total
Premium:
|
$49.62/month
($595.44/year) Gold
$66.08/month ($792.96/year) Platinum
$38.07/month ($456.84/year) Silver
|
|
Total
annual deductible:
|
$0 Gold, Platinum
$250 Silver
|
|
Pharmacy:
|
FVMCP,
FVCCP OK
|
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|
|
SilverScript
|
SilverScript,
SilverScript Plus
P.O. Box 688
Mahwah, NJ 07430
1-866-552-6106
1-866-552-6288 (TTY/TDD)
Web address:
www.SilverScript.com
Plan status: Approved by Medicare
|
|
Total
Premium:
|
$27.46/month
($329.52/year) SilverScript
$54.90/month ($658.80/year) SilverScript Plus
|
|
Total
annual deductible:
|
$250 SilverScript
$100 SilverScript Plus
|
|
Pharmacy:
|
FVMCP,
FVCCP OK
|
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|
|
United
American Insurance
|
UA
Medicare Part D Prescription Drug Cov
3700 S. Stonebridge Drive
McKinney, TX 75070
1-866-524-4169
1-866-524-4170 (TTY/TDD)
Web address:
www.unitedamerican.com
Plan status: Approved by Medicare
|
|
Total
Premium:
|
$31.93/month
($383.16/year)
|
|
Total
annual deductible:
|
$0
|
|
Pharmacy:
|
FVMCP,
FVCCP OK
|
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|
|
United
Healthcare
|
United
Medicare MedAdvance, UnitedHealthRx
P.O. Box 29500
Hot Springs, AR 71903
1-888-556-6657
1-888-556-7065 (TTY/TDD)
Web address:
www.AARPMedicareRx.com
Plan status: Approved by Medicare
|
|
Total
Premium:
|
$27.84/month
($334.08/year) United Medicare MedAdvance
$20.70/month ($248.40/year) UnitedHealthRx
|
|
Total
annual deductible:
|
$0 United Medicare MedAdvance
$50 UnitedHealthRx
|
|
Pharmacy:
|
FVMCP,
FVCCP OK
|
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|
|
WellCare
|
WellCare
Complete, Premier, Signature
8735 Henderson Blvd.
Tampa, FL 33634
1-888-423-5252
Web address:
www.wellcarepdp.com
Plan status: Approved by Medicare
|
|
Total
Premium:
|
$34.79/month
($417.48/year) Complete
$36.60/month ($439.20/year) Premier
$18.04/month ($216.48/year) Signature
|
|
Total
annual deductible:
|
$0
|
|
Pharmacy:
|
FVMCP,
FVCCP OK
|
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|
|
Medco
Health Solutions
|
YOURx
PLAN
P. O. BOX 630246
IRVING, TX 75063
1-800-758-3605
1-800-716-3231 (TTY/TDD)
Web address:
www.yourxplan.com
Plan status: Approved by Medicare
|
|
Total
Premium:
|
$29.16/month
($349.92/year)
|
|
Total
annual deductible:
|
$250
|
|
Pharmacy:
|
FVMCP,
FVCCP OK
|
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|
|
SierraRx
|
SierraRx
P. O. BOX 15645
Las Vegas, NV 89114
1-866-789-0565
1-866-789-0572 (TTY/TDD)
Web address:
www.sierrarx.com
Plan status: Approved by Medicare
|
|
Total
Premium:
|
$18.98/month
($227.76/year)
|
|
Total
annual deductible:
|
$250
|
|
Pharmacy:
|
FVMCP OK
|
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|
