Table of Contents

Getting Started - The Basics

About Enrolling

Costs and Coverage

Problems Getting Your Drugs Under Your Plan

Other Common Problems / Changing Plans

Information for Medicare Providers

What if I can't afford my drug?

If you have limited income, you may qualify for "extra help" with the cost of your drug.

NOTE: In order to receive "extra help," you MUST APPLY for it, UNLESS you are already enrolled in: Medicare and Medicaid (MaineCare), OR Medicare and one of the three Medicare Savings Programs, also known as QMB, SLMB, or QI, OR Medicare and SSI

For more information, or to apply for "extra help":

• Contact your local Department of Health and Human Services Office and tell them you want to apply for the "Buy In" (also known as the Medicare Savings Program), or
• Contact your local Area Agency on Aging and tell them you want information or help applying for the "Buy In" Program

Get more details on who is eligible for "extra help" through the Medicare Savings Program.

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If you do not qualify for "extra help," contact your doctor or LSE's Medicare Part D Appeals Unit (1-877-774-7772).

Explain to your doctor that you cannot afford your drug. Find out whether your doctor will prescribe a substitute drug that you can afford.

If your doctor believes that you must have the prescribed drug, and not one of the cheaper drugs that your Part D Plan covers, then contact LSE's Medicare Part D Appeals Unit and we will help your doctor request an "Exception" from your Part D Plan.