First Health Part D from Coventry® Health Care

At Coventry, we are committed to putting our members First by helping you understand everything you need to know about our Medicare Part D prescription drug plans.

First Health Part D: Find out more about Coventry's First Health Part D product offerings.

First Health Part D
A Medicare-approved Part D sponsor. First Health Part D Value Plus is not available in Alaska or Hawaii We invite residents of those states to consider our Premier or Premier Plus plans.

You must be entitled to Medicare benefits under Part A and/or enrolled in Part B, and reside in the First Health Part D service area. You may only enroll in one Part D Benefit Plan (PDP) at a time and only during specific times of the year. If you are enrolled in a Medicare coordinated care (HMO or PPO) plan or a Medicare Advantage (MA) Private Fee-for-Service (PFFS) plan that includes Medicare prescription drugs, you may not enroll in a PDP unless you disenroll from the HMO, PPO or MA PFFS plan. Enrollees in a PFFS plan that does not provide Medicare prescription drug coverage, or a MA Medical Savings Account (MSA) plan may enroll in a PDP. Enrollees in an 1876 Cost plan may enroll in a PDP.

You must continue to pay your Medicare Part B premium.

The benefit information provided herein is a brief summary, not a comprehensive description of benefits. For more information contact the plan.

Limitations, copayments and restrictions may apply.

Eligible beneficiaries must use network pharmacies to access their prescription drug benefit except under non-routine circumstances, and quantity limitations and restrictions may apply.

Benefits, formulary, pharmacy, network premium and/or co-payments/co-insurance may change on January 1, 2013. Please contact First Health Part D for details.

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:
1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/7 days a week;
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.

People with limited incomes may qualify for Extra Help to pay for their prescription drug costs. If you qualify, Medicare could pay up to seventy-five (75) percent or more of your drug costs including monthly prescription drug premiums, annual deductibles and coinsurance. Additionally, those who qualify will not be subject to the coverage gap or a late enrollment penalty. Many people are eligible for these savings and don’t even know it. For more information about this Extra Help, contact your local Social Security office or call 1-800-MEDICARE (1-800-633-4227), 24 hours per day, 7 days per week. TTY users should call 1-877-486-2048.

This is not 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. Medicare beneficiaries may enroll in First Health Part D through the Centers for Medicare & Medicaid Services Online Enrollment Center, located at www.medicare.gov. For more information contact First Health Part D (PDP) at 1-800-588-3322 (TTY/TDD 711 Telecommunications Relay Service), 8 a.m. to 8 p.m., seven days a week. Brokers are paid a commission upon beneficiary enrollment.

The Medicare program rates how well plans perform in different categories (for example, detecting and preventing illness, ratings from patients and customer service.) To find plan ratings information, go to http://www.medicare.gov and select “Health & Drug Plans” on the left navigation to compare the plan ratings for Medicare plans in your area. You can also call us directly at 1-800-588-3322 (TTY/TDD users call 711), 8 a.m. to 8 p.m., seven days a week to obtain a copy of the plan ratings for First Health Part D.

Documents are available for free in alternative formats or languages. Call First Health Part D at 1-800-588-3322 (TTY/TDD 711 Telecommunications Relay Service), 8 a.m. to 8 p.m., seven days a week for additional information.