Moving Beyond the Theory of Exceptions and Appeals
Medicare Network Conference Call
Wednesday, March 15, 2006
3:00 PM ET
HAP Tools and Resources
1. Toolkit: Medicare Part D Reimbursements
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Request for a Coverage Determination: Sample letters for enrollees requesting a reimbursement from their drug plan during a transition period
- Beneficiaries entitled to "
Extra Help," but charged more than the "Extra Help" amounts
- Beneficiaries who paid out-of-pocket because they did not receive their "
transition fill"
2. Part D Pharma-Gram: A brief "takeaway" for beneficiaries to pick up at the pharmacy counter if they are having trouble getting their prescriptions filled. Provides specific action steps.
CMS Resources
