2024 Evidence of Coverage for UnitedHealthcare® Group Medicare Advantage PEBB Complete (PPO) Chapter 2: Important phone numbers and resources 56 • Virginia - Virginia Medication Assistance Program (MAP) • Virgin Islands of the U.S. - US Virgin Islands Pharmaceutical Assistance Program • Vermont - Green Mountain Care Prescription Assistance • Wisconsin - Wisconsin SeniorCare Pharmaceutical Assistance Program State Pharmaceutical Assistance Programs – Contact Information California | Department of Health Services - ADAP 1-844-421-7050 Insurance Assistance Section, P.O. Box 997426, MS 7704 TTY 711 Sacramento, CA 95899-7426 8 a.m.-5 p.m. local time, https://www.cdph.ca.gov/Programs/CID/DOA/Pages/ Monday-Friday OA_adap_medpartd.aspx Colorado | Colorado Department of Health Care Policy & 1-800-221-3943 Financing TTY 711 1570 Grant ST Denver, CO 80103-1818 9 a.m.-5 p.m. local time, https://www.colorado.gov/hcpf/contact-hcpf Monday-Friday Connecticut | Connecticut AIDS Drug Assistance Program 1-800-424-3310 (CADAP) TTY 711 c/o Magellan Health, 15 Cornell RD, STE 2201 Lathan, NY 12110 8 a.m.-4 p.m. local time, https://ctdph.magellanrx.com/ Monday-Friday District of Columbia | District of Columbia Department of 1-202-671-4900 Health TTY 711 AIDS Drug Assistance Program (ADAP) 899 N Capitol ST NE 8:15 a.m. - 4:45 p.m. local Washington, DC 20002 time, Monday - Friday https://dchealth.dc.gov/node/137072 Delaware | Delaware Prescription Assistance Program 1-800-996-9969 DHSS Herman Holloway Campus, Lewis Building 1901 N. DuPont TTY 711 Highway New Castle, DE 19720 8 a.m.-4:30 p.m. local https://dhss.delaware.gov/dhss/dmma/dpap.html time, Monday-Friday Guam | Guam Medically Indigent Program (MIP) 1-671-635-7432 RAN-Care Commercial Building, CNU #207 761 South Marine TTY 711 Corps Drive Tamuning, GU 96913 8 a.m.-5 p.m. local time, http://dphss.guam.gov/bureau-of-economic-security/ Monday-Friday Idaho | Idaho AIDS Drug Assistance Program (IDADAP) 1-208-334-6657 450 W State ST, P.O. Box 83720 Boise, ID 83720-0036 TTY 711 http://www.healthandwelfare.idaho.gov/Health/ 8 a.m.-5 p.m. local time, HIV,STD,HepatitisPrograms/HIVCare/tabid/391/Default.aspx Monday-Friday
UnitedHealthcare PEBB Complete EOC (2024) Page 61 Page 63