Beneficiary Challenges in Using the Medicare Part D Appeals Process To Obtain Medically Necessary Drugs
Publication Date: September 2006
Publisher: Henry J. Kaiser Family Foundation
Author(s):
Research Area: Health
Keywords: Medicare; Drug Benefit
Type: Brief
Coverage: United States
Abstract:
This paper describes the various steps of the Medicare Part D appeals process for obtaining necessary drugs not on a plan’s formulary. Using case reports collected from a network of beneficiary advocates, it illustrates the challenges and problems some beneficiaries encounter when navigating this aspect of the drug benefit.
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