Medicare Drug Plan Appeals Reminder

 

If you have formally asked your Medicare drug plan to pay for a drug, override a restriction or move your drug to a lower cost tier (requested an “exception”), and your plan turns you down, you should appeal. Before you can begin the appeals process, you must have already asked for an exception and been officially denied in writing. A “no” at the pharmacy is not an official denial. The process for appealing is the same whether you are in a Medicare private health plan with drug coverage (MA-PD) or stand-alone private drug plan (PDP).

Learn how to appeal your plan’s decision at http://www.medicareinteractive.org/.

-From Medicare Watch, Medicare Rights Center, March 10, 2011.

 

3/11