Guide to Medicare Part D: What if My Part D Plan Determined That My Drug Was Not Medically Necessary?

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This page is part of our Guide to Medicare Part D.

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.

For questions or advice, contact
your nearest Kentucky legal services program.

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

We have more information about the Appeal process.



Reviewed August 2009

This online guide was adapted with permission from Maine Legal Services for the Elderly. We extend our thanks to them.