2009 Medicare Solutions

Choose the level of protection that’s right for you today and helps protect you against unexpected future expenses.

	Basic Coverage	Enhanced Coverage
Deductible	$0	$0
Initial coverage: Annual drug costs paid by you and the plan, up to a combined total of $2700 (excludes premiums and costs of non-covered drugs, including drugs purchased outside the U.S.)	Copay for 30-day supply: $5 generic $35 preferred brand $55 non-preferred and specialty Copay for 90-day supply and mail-order: $12.50 generic $87.50 preferred brand $137.50 non-preferred and specialty	Copay for 30-day supply: $2 generic $35 preferred brand $55 non-preferred and specialty Copay for 90-day supply and mail-order: $5 generic $87.50 preferred brand $137.50 non-preferred and specialty
Coverage gap (Donut hole)	HAP negotiated prices	Copay for 30-day supply: $2 generic Copay for 90-day supply: $5 generic HAP negotiated prices on all other drugs
Catastrophic coverage: After you reach $4,350 in annual total out-of-pocket costs (excludes premiums and costs of non-covered drugs, including drugs purchased outside the U.S.)	Copay $2.40 generic or 5% (whichever is greater) $6 all other drugs or 5% (whichever is greater)

Convenient pharmacies

As a plan member with prescription drug benefits, you fill your prescriptions at any pharmacy in our network of more than 1,500 pharmacies, which includes:

Retail (some provide free home delivery)
Mail-order
Medical center
Long-term care
Indian Health, Tribal, and Urban pharmacies

If you travel, you can get your prescription drugs at any network pharmacy with nationwide locations (like Walgreens or Kmart) that contracts with HAP.

Generally, you must get your prescription drugs at a pharmacy in our network, except in emergency or urgent care situations.

Pharmacy Directory
View our affiliated pharmacy directory online.

Getting extra help for prescription drug coverage

You may be able to get extra help to pay for your prescription drug premiums and costs. To see if you qualify for getting extra help, call:

800-MEDICARE (800-663-4227), TTY/TDD users should call (877) 486-2048. You can call this number 24 hours a day, 7 days a week, or
The Social Security Administration at (800) 772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY/TDD users should call (800) 325-0778 or
Your state Medicaid office

Learn more about getting extra help

For more information about our prescription drug benefits, call us at:

(800) 868-3153 toll free or
TDD (800) 956-4325 toll free
Monday through Friday
8:30 a.m. to 5 p.m.

Your HAP representative can help you with:

Full benefit information
Enrollment periods
Network pharmacy information

For pharmacy and mail-order pharmacy information

HAP Senior Plus
(800) 801-1770

Alliance Medicare PPO
(888) 658-2536

TDD (800) 956-4325 toll free

Monday through Friday, 8 a.m. to 8 p.m.
Saturday, 8 a.m. to noon.

Extended Hours
We will have extended hours from November 15 through March 1, when Client Services Specialists will be available 7 days a week, including holidays, from 8 a.m. to 8 p.m.

You can also write to us at:
HAP Client Services
Attn: Medicare
2850 West Grand Boulevard
Detroit, Michigan 48202

Important information

Generally, your Medicare Advantage plan prescription drug benefits are only available at contracted network pharmacies, except in emergency or urgent care situations. Also, the prescription drug benefit is only available to members of our plan. Medicare Advantage plan members must receive prescription drug coverage through their plan. If you enroll in a stand-alone prescription drug plan, you will lose your Medicare Advantage plan benefits.