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

What if my Part D plan determined that my drug was not medically necessary?

First, contact your doctor.

Explain to your doctor that your Part D plan determined that your drug was not medically necessary.

If your doctor believes that your Part D plan's decision is incorrect, you can request an Appeal.

NOTE: You have the RIGHT to request an Appeal. For questions or advice, contact Legal Services for the Elderly at 1-800-750-5353

Your Part D plan's written Coverage Determination will explain how to request an Appeal.

We have more information about the Appeal process.