We know it's scary to lose coverage for a prescription you count on. Or wonder how you'll afford the cost of a drug your plan doesn't cover.
That's why Blue Cross Blue Shield of Michigan has a transition policy for Medicare Part D prescription drugs. It gives you 108 days to work with us and your doctor to find a solution for your prescription.
The transition policy is applicable when:
You and your doctor will receive a letter if the status of your prescription changes.
In most cases, the transition policy applies only to Part D prescription drugs purchased at an in-network pharmacy. You can’t use it to fill a prescription for a drug that Medicare doesn’t cover.
When you enroll in a new plan, your transition period begins once your coverage starts. If you're already a plan member, your transition period begins at the beginning of the plan year.
You have options if your plan doesn't cover a Part D prescription drug or it has additional restrictions. During the transition period you can:
During the transition period, in most cases, we'll cover at least one fill or refill of your prescription. It can be up to a month's supply from an in-network retail or mail order pharmacy.
The transition policy provides additional help in specific circumstances, such as entering or leaving a long-term care facility or getting discharged from the hospital.
In these situations, the policy will: