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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 my drug is not covered by Part D?
You may need to pay out-of-pocket for drugs specifically excluded from Medicare
Part D coverage, which include the following:
- Over-the-counter drugs, with the exception of insulin;
- Weight-loss and weight-gain drugs;
- Drugs to relieve cough/cold symptoms;
- Drugs to promote hair growth;
- Fertility drugs;
- Prescription vitamins, with the exception of prenatal vitamins and fluoride;
- Cosmetic drugs;
- Drugs that must be monitored by testing services that only the manufacturer
provides, such as certain anti-psychotics;
- Barbituates; and
- Benzodiazapines.
However, you may be able to purchase an enhanced Supplemental Medicare
Prescription Drug Plan that offers coverage for the above non-covered
drugs.
Call the Maine State Health Insurance Assistance Program (SHIP)
at
1-877-353-3771, or TTY: 1-800-750-5353 for more information.
| NOTE: If you
currently receive prescription drug coverage for any of the drugs listed
above through Medicaid (MaineCare) or the Drugs for the Elderly and Disabled
program (DEL), MaineCare or DEL will continue to pay for these
drugs. |
For questions or advice, contact
Legal Services for the Elderly at 1-800-750-5353
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