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NY Times Reports Widepread Problems with Medicare Drug Plans

An article in the New York Times reports the possibility of widespread problems with the new Medicare drug enefit, particularly for low-income beneficiaries. This has prompted emergency action by some states, including Maine, New Hampshire, North Dakota, and Vermont. These states are paying claims for low-income people until the federal government fixes the program.

If You are Having Problems with the New Medicare Drug Program

With the launch of the new Medicare Prescription Drug Program some people are having trouble getting their prescriptions filled. Apparently, problems exist system-wide that are causing beneficiaries delays or even denials in getting prescriptions.

The following suggestions are from the American Association of Retired Persons (AARP) website.

Take your card from your Medicare Rx plan provider to the pharamacy. If you don't have a card but have enrolled in the new program, take the following items to the pharmacy:

  • Written documentation from the plan provider
  • Plan provider contact information, including the toll-free number on the enrollment material
  • Your Medicare card or SSA auto assignment
  • Some form of ID (photo ID is best, but if you don't have one take a utility bill or Social Security card

If the pharmacy still won't fill your prescription, you might consider the following:

  • Go to another pharmacy
  • Ask your pharmacist to provide a few days of medication to get you through the time it takes to confirm eligibility
  • Save all receipts in case you need to be reimbursed later
  • Contact your plant provider and/or Medicare right away

Several Low -Income Beneficiaries have been bumped from patient assistance programs.
Check with Rx Assist to see if you are still eligible.

January 8, 2006

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