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

First, contact your doctor.

Explain to your doctor that your Part D plan determined that your drug was not medically necessary.

If your doctor believes that your Part D plan's decision is incorrect, you can request an Appeal.

NOTE: You have the RIGHT to request an Appeal.

Your Part D plan's written Coverage Determination will explain how to request an Appeal.

We have more information about the Appeal process.

 

Content provided by Maine Legal Services for the Elderly