Our Patient Care Coordinator Teams are ready to assist you in understanding your Medicare-related questions, from prescription coverage to eligible medications.
Your Medicare Rights
You have the right to request a coverage determination from your Medicare drug plan if you disagree with information provided by the Pharmacy. You also have the right to request a special type of coverage determination called an “exception” if you believe:
What You Need To Do
You or your prescriber can contact your Medicare drug plan to ask for a coverage determination by calling the plan’s toll-free phone number on the back of your plan membership card, or by going to your plan’s Web site. You or your prescriber can request an expedited (24 hour) decision if your health could be seriously harmed by waiting up to 72 hours for a decision. Be ready to tell your Medicare drug plan:
Refer to your plan materials or call 1-800-Medicare (1-800-633-4227) or visit medicare.gov for more information.
You can also contact us at 1-844-259-1891 and our team will point you in the right direction for answering any questions you may have about Medicare and your specialty pharmacy prescriptions.