Trouble with Medicare Part D

[channing28105]

I am a Female with Autism the Aspergers kind I really hate medicare part D because Medicare part D turns down coverage to Drugs doctors prescribe because of formulary. What Can I do to get around this problem everytime I get a prescription from the doctor because I have problems everytime I go to the doctor and get a prescription that medicare part D insurance will not cover the medicine that is prescribed..


channing

 

[Mack]

Hi Channing and welcome!

I am sorry you are having a problem but am not clear as to the problem. You say that "Medicare part D turns down coverage" but as far as I know it is the insurance company that sets their own formulary and decides which "tier" a drug is on, thus whether the drug is covered and how much the cost to you is, if any.

Perhaps you need to switch to another drug plan during the next open enrollment period and see if you can find one with more of your medications on their formulary.

You can use the MyMedicare.gov plan finder to input the drugs you are taking and it will give you a list of the insurance companies and the yearly cost for the plan and your drugs. You can then compare them one against the other.

The Medicare Plan Finder is at:

https://www.medicare.gov/find-a-plan/questions/home.aspx