Resources for Medicare Beneficiaries: Using Your Medicare Drug Plan | What to Do If Your Medicine Isn’t Covered


This 12-page publication helps Medicare Part D recipients and caregivers understand some of the challenges involved in navigating the Medicare prescription drug system, such as:

  • How to request coverage of medication under a particular Medicare plan;
  • When to appeal if a Medicare plan denies coverage of a particular medication;
  • How to determine who will serve as an appointed representative;
  • The steps to follow in the appeal process.

This brochure includes a sample letter of appeals for Medicare beneficiaries. A Spanish version also is available.