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Tell me more about out-of-pocket costs.




Tell me more about the appeals process.

Choose Your Plan

Step 3: Find out how much you have to pay out-of-pocket when you fill a prescription.

The PDP will require a co-payment for each prescription. Many PDPs will have three or even four levels, or "tiers," of co-payments that apply to different medicines. Find out what co-payment level applies to each medication you are taking by calling the plan or looking in the materials you received from them.

If the co-pay is more than you can afford, you may want to ask your doctor if there are other medicines at a lower cost that would be appropriate for you. If there are not any, you can appeal to the PDP for a lower copayment. To do this, you need to ask for an exception and your doctor will need to submit additional information as in Step 2.

Step 1

 Find out what's covered.

Step 2

Find out what to do if your medicine isn't covered.

Step 3

Find out how much you'll pay.

Step 4

Find out about other restrictions.