Magellan Rx Medicare | Magellan Rx Management

Medicare Program Expertise

Our Magellan Rx Medicare Center of Excellence provides exceptional member-centric service by empowering our dedicated team to achieve our mission with integrity, compassion, accuracy, respect and enthusiasm. Our services and support offerings are designed to improve the member experience, promote safety and effectively manage costs for a wide range of Medicare client needs.

Our experienced Medicare team brings over 350 years of experience in the industry.

In a 2021 CMS Program Audit MRx passed 100% with 0 findings, conditions or observations*
6th consecutive year earned 5-Star member satisfaction rating
0 CDA auto-forwards for 100% of clients in 2021
PQA Laura Cranston Quality Improvement Award over PDP and EGWPs nationwide

*Past performance does not guarantee future results.

is to be the trusted partner in delivering high-quality Medicare services to meet the unique needs of all beneficiaries.

Together, we will collaborate, achieve, revolutionize, and enhance your beneficiaries’ experience with their prescription drug coverage.

Plan types

Medicare Advantage Plan (MAPD)
Special Needs Plan (SNP)
Medicare-Medicaid Plan (MMP)
Employer Group Waiver Plan (EGWP)
Prescription Drug Plan (PDP)

Client support

Network management
Benefit configuration
Coverage determinations
Appeals and grievances
Customer care center
Reporting

Regulatory focus

Compliance oversight
Audit support
CMS guidance
508 Compliance

Clinical support

Medication Therapy Management (MTM)
Star ratings/HEDIS quality program
P&T formulary development
Utilization management

Marketing and correspondence

Plan communication materials
Enrollee advisory committee
Member newsletter
Website consultation

Meet the Magellan team

Get to know our leaders