2014 Transition Policies for Medicare Part D

The new plan year for Medicare Part D began January 1 and many beneficiaries, particularly low-income subsidy individuals who were reassigned, are adjusting to new plans or to new rules and formulary changes in their current plans.  During the first three months of the plan year, beneficiaries have a limited right to transition supplies of drugs that may not be on their plan formulary or that may be subject to utilization management requirements.  Plans also are required to clearly inform members receiving transition supplies about the next steps available to them.

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Case consultation help for advocates

NSCLC staff are available to help advocates with answers to questions about program rules and requirements, reviewing and analyzing pleadings, commenting on proposed litigation, assisting in the formulation of strategies, drafting opinion letters and providing memoranda, articles and other written materials.