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Table of Contents
Getting Started - The Basics
About Enrolling
Costs and Coverage
Problems Getting Your Drugs Under Your Plan
Other Common Problems / Changing Plans
Information for Medicare Providers
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What if I can't afford my drug?
If you have limited income and limited countable assets
(i.e. savings and stocks),
you may qualify for "extra help" with the cost of your drug.
NOTE: In order
to receive "extra help," you MUST APPLY for it, UNLESS
you are elderly or disabled AND enrolled in:
- Medicare and Medicaid(MaineCare), OR
- Medicare and one of the three Medicare Savings Programs, also known
as QMB, SLMB, or QI, OR
- Medicare and SSI
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There are four categories of individuals and/or couples who qualify for "extra
help," but must apply to receive it. Visit our
extra help page to see if you qualify.
If you do not qualify for "extra help," contact your doctor.
Explain to you doctor that you cannot afford your drug. Find out whether
your doctor will prescribe a substitute drug that you can afford.
If your doctor believes that you must have the prescribed drug, and there
are similar drugs on your formulary that cost less, then ask your doctor to
contact your Part D plan to request an "Exception" and to
explain why your drug is medically necessary.
NOTE:
You have a RIGHT to request an Exception in certain
circumstances when you cannot afford your drug.
For questions or advice, contact
Legal Services for the Elderly at 1-800-750-5353.
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Get more information about requesting an
Exception.
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