Prescription Drug Coverage - Help Is Here
If you have a Medicare Prescription Drug Plan and are having problems filling your prescription because the pharmacy can't confirm you are enrolled in a Medicare Prescription Drug Plan, help is here.
In most cases, if a pharmacy can't confirm you are enrolled in a Medicare Prescription Drug Plan, it's because your Plan hasn't received or updated your information in their files.
If the pharmacy
- won't fill your prescription, or
- charges you more than you know you should have to pay
because it can't confirm you are enrolled in a Medicare Prescription Drug Plan, here's what to do.
If you don't have a membership card yet, you can show the pharmacist the letter you received from the plan that confirms you have enrolled. If you don't have a letter, ask your pharmacist to call 1-800-MEDICARE (1-800-633-4227). The customer service representative can tell the pharmacist which plan you are enrolled in.
If you are eligible for Medicare and Medicaid and find out you are not enrolled in a plan, you can go to most pharmacies and:
- be enrolled in a national Medicare drug plan (Wellpoint),
- fill your prescription, and
- you will be charged a copayment of between $1 and $5.35 for your prescription.
You must provide proof of identity (state law), like a personal photo identification or other supporting documentation.
You also can choose to pay for your prescription at the pharmacy and then work with your plan to be reimbursed. If you cannot afford to pay out-of-pocket and going without the prescription is very serious, call 1-800-MEDICARE (1-800-633-4227) and tell the customer service representative that you are having trouble filling a prescription that is an emergency need.
Prescription Drug Coverage - Help Is Here
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