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Medicare Part D Prescription Drug

Coverage: What You Need to Know

Beginning January 1, 2006, Medicare benefits will include prescription drug coverage. This new benefit is a form of insurance that you can purchase.  It is called "Part D Prescription Drug Coverage".  While the concept of prescription drug insurance may seem simple, it is actually complex.

Getting Started

What is Medicare prescription drug coverage?

Who is eligible for Part D coverage?

If I have Medicaid and Medicare, do I need Part D coverage?

What if I already have prescription drug coverage from another source?

Where do I go for help with Part D?

What Part D Plans are available in Georgia?

About Enrolling

How do I enroll for Part D coverage?

Is there a deadline to enroll for Part D coverage?

Costs and Coverage

How much does Part D coverage cost?

Will Part D pay for all of my prescriptions?

What if I can't afford Part D coverage?

Problems with Getting Drugs under Your Plan?

My Part D plan denied coverage of my drug. How do I find out why I was denied coverage?

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

What if my drug is not on my Part D plan's formulary?

What if I can't get my drug because my doctor did not obtain prior authorization from my Part D plan?

What if my doctor prescribed a dosage that is not covered by my Part D plan?

What if my doctor prescribed a form (liquid versus pill), or type (generic versus brand) of drug, that is not covered by my Part D plan?

Other common problems / changing plans

What if I can't afford my drug?

What if my Part D plan removes my drug from its formulary?

Can I get my prescription filled at a pharmacy that is not within my Part D plan's network?

What if my drug is not covered by Part D?

Can I change Plans?

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LegalAid-GA.org provides general information only. This is not legal advice and cannot replace legal advice. You can get legal advice only from a lawyer.  Deadlines are extremely important in most legal matters. You may lose important legal rights if you do not hire an attorney immediately to advise you. Viewing this web site or sending an e-mail message through this web site does NOT create an attorney-client relationship.
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Copyright and Use Notice

This material is copyrighted by the authoring organization or individual. Legal information can change rapidly. Provided links are kept updated, permission is given to link to this material from a nonprofit, court or government website. Website material may be printed, copied and distributed only in its original format for non-commercial, informational purposes. The material may not be altered from its original format. Reproducing the material to promote a commercial purpose is expressly prohibited. Commercial enterprises are expressly forbidden from linking to our material or using our material in other ways. Legal Aid and GLSP are not liable for the distribution of out-of-date material or links. To inquire about appropriate use of this material, please contact 404-524-5811.

 

Information Not Legal Advice

LegalAid-GA.org provides general information only. This is not legal advice and cannot replace legal advice. You can get legal advice only from a lawyer.  Deadlines are extremely important in most legal matters. You may lose important legal rights if you do not hire an attorney immediately to advise you. Viewing this web site or sending an e-mail message through this web site does NOT create an attorney-client relationship.

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