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Medicare and Bridgingthe Gap 2011 Colorado Dept. of Public Health & EnvironmentNovember, 2010 There are no changes for Bridging the Gap itself this year. New Pharmacies are available for Bridging the Gap, Coloradomembers. Details on page 4. Medicare changes have been made: Your current Medicare Drug Plan may not be accepted at yourpharmacy in 2011. Read about changes on page 2. Medicare Advantage Plans have left 29 counties in Colorado -Do you live there? See page 4 for a complete list. Some doctors offices and hospitals no longer take Humanaand some other Medicare Advantage Plans Will this affect you? See page 4. Get signed up for Bridging the Gap in 2011 without a hitch The checklist on the back page of this newsletter can help THINGS YOU SHOULD KNOW 2011 If you received a $250 check from Medicare in 2010, and did not forward it to BTGC, you will have to pay this amount to BTGC before being enrolled in BTGC for 2011. For more information, call (303) 692-2783. Advantra Rx (by Coventry Rx) Fox Insurance Rocky Mountain Health Plans (Part D plan only, not the Cost Plans) Medicare Drug Plans that are new to Colorado: *We are attempting to add Humana Walmart to our network, but cannot assure it at press time. Advantage Star Plan (by RxAmerica) BravoRx Humana Walmart-Preferred Rx Plan* CVS Caremark Value Plan (by Silver Script) BRIDGING THE GAP NEEDS YOUR HELP For over two years, BTGC has been helping hundred of Coloradanshandle the costs of their medications, and demand for BTGC keeps growing.In these challenging times, there are two cost saving things you can do to helpkeep BTGC going strong. APPLY FOR EXTRA HELP When BTGC enrollees receive Extra Help from the federal government, BTGChas to pay little or no premium, a low deductible, no gap and low co-paymentsfor their prescriptions. Please consider applying for Extra Help if you think youmay qualify. The income limits for 2010 are $1,354 per month or $16,245 annu-ally for single persons, and $1,821 per month or $21,855 annually for couples.The asset/resource limits for 2010 are $12,510 for single persons and $25,010for couples. Call1-800-772-1213to check your status and for more information.BTGC may require you to apply for Extra Help if it looks like you may quality. CHOOSE A PLAN THAT MATCHES YOUR NEED Sometimes BTGC members choose higher cost plans when lower cost planswould meet their needs just as well. More expensive doesn’t always mean better!Help BTGC by considering the prescription drug plans highlighted in green onthe page 3. These plans have low or no monthly premiums. Medicare Drug Plans that have left Colorado: You may need to change your plan if Medicare did not automatically change you. Check your mail. Page 2Medicare and Bridging the Gap 2011 Always take your medications every day and on time,and place refill requests with time to spare. The Bridging the Gap,Colorado PharmacyNetwork is expanding for your convenienceWe have already addedthe Walgreens brancheslisted on page 4, and weare working onagreements with KingSoopers, City Market and Walmart inthe future.Call 1-888-311-7632 for locations nearest you. ` Medicare Part D Plans BTGC will pay 100% for: Page 3 Medicare and Bridging the Gap 2011 Company Name & ContactInformation Plan Name and ID Number 2011MonthlyPremium Aetna Medicare Rx Costco Plus Plan (S5810-231)Aetna Medicare Rx Essentials (S5810-061)Aetna Medicare Rx Premier (S5810-197)Blue MedicareRx Standard (S5596-025) $36.70Blue MedicareRx Plus (S5596-026)$65.80 BravoRxwww.bravohealth.com1-800-723-9209BravoRx Basic (S5998-031)$32.70 CIGNA Medicare Rx Plan One (S5617-133)$59.50CIGNA Medicare Rx Plan Two (S5617-197)$78.50EnvisionRxPlus Silver (S7694-027)$41.00EnvisionRxPlus Gold (S7694-061)$54.10 First Health Part D/Coventry HealthCare 1-800-588-3322www.firsthealthpremier.comFirst Health Part Premier (S5768-119)$30.80 Health Net1-800-606-3604www.healthnet.comHealth Net Orange Option 1 (S5678-060)$41.00HealthSpring Prescription Drug Plan1-800-331-6293www.healthspring.comHealthSpring Prescription Drug Plan-Reg 27 (S5932-026)$35.60 Humana Walmart-Preferred Rx Plan (S5884-111)$14.80 Humana PDP Enhanced (S5884-085)$47.40Medco Medicare Prescription Plan-Value (S5660-129) $43.80Medco Medicare Prescription Plan-Choice (S5660-027)$71.90 Advantage Star Plan by RxAmerica (S5644-200) $31.50Silverscript Insurance Company1-866-552-6106www.silverscript.comCVS Caremark Value (S5601-054)$31.40 undersuspensionMedco Medicare Prescription Plan1-800-758-3605www.medcomedicare.com RxAmerica1-800-429-6686www.meds4medicare.com EnvisionRxPlus1-866-250-2005www.envisionrx.comHumana Insurance Company1-800-706-0872www.humanamedicare.comAetna Medicare1-800-529-5586www.aetnamedicare.comAnthem Blue Cross/Blue Shield1-800-261-8667www.anthem.comCIGNA MedicareRx1-800-735-5681www.cignamedicarerx.com Plans highlighted in green meet the needs of most BTGC enrollees and have lower monthlypremium costs. Please consider them as you choose your plan for 2011! Do You Live in One of these Colorado Counties?University Hospital drops Humana In 2011, residents of these counties will not have access to any Medicare Advantageplans. Only the Rocky Mountain Health Plans Cost Plans will provide health and prescription drug coverage in these counties. If you are affected by this change, you can move back toregular Medicare and choose a Medicare Part D Plan. Theremay be other options, as well. We recommend you speakwith a Senior Health Insurance Program Counselor at 1-888-696-7213 for more information.You are allowed to join a Medicare Advantage Plan withPrescription Drugs that costs more than $80 a month, butyou will have to pay the difference to the plan yourself.BTGC will not pay for dental and vision plan add-ons topremiums, however. Many people choose aMedicare Advantage Plan ifthey expect to have a lot ofmedical expenses. Mosthave an annual out ofpocket maximum. Page 4Medicare and Bridging the Gap 2011 Please note that University of Colorado Hospital and theUniversity Hospital ID clinic no longer accept HumanaMEDICARE– based plans. They also do not accept AARP’sSecure Horizon products.Denver Health does not accept several Medicare health plans.Before you enroll in a plan for 2011, make sure your doctor andpharmacy will accept it. Bridging the Gap ColoradoPharmacies Apothecary Boulder Denver Health Colorado Pharmacy Kaiser Network Walgreens branches inDenver at 2nd & Broadwayand at Rose Hospital, plusbranches in Boulder, Broom-field, Longmont, Loveland,Fort Collins, Ft. Morgan,Greeley, Sterling, ColoradoSprings, Pueblo, GrandJunction, Dillon, Thornton,Cortez, and other towns. Call 1-888-311-7632 for acomplete list of choices. Archuleta, Bent, Cheyenne, Delta, Dolores, Eagle, Garfield, Gunnison, Hinsdale,Jackson, Kiowa, Kit Carson, La Plata, Lake, Lincoln, Moffat, Montezuma, Ouray,Phillips, Pitkin, Prowers, Rio Blanco, Routt, San Juan, San Miguel, Sedgwick,Summit, Washington and Yuma. What if I want a Medicare Advantage planthat costs more than $80 per month?
