Medicare prescription drug plans can change which drugs they cover, possibly leaving you without coverage for a drug you need. Or you might switch plans, and find that your new plan doesn’t cover your medication at all.
Q: Is there any way I can still get the drugs I need under my plan?
A: It's good to know that Medicare drug plans are required to offer you a 30-day transition supply of the drug you're taking.
Q: Does all Medicare plans offer these transition refills?
A: All Medicare Part D plans must offer these transition refills, including Medicare Advantage plans with prescription drug coverage. Plans must provide a 30-day supply of an ongoing medication (unless a lesser amount is prescribed) within the first 90 days of plan membership or within the first 90 days of the new contract year.
Q: What is a required by Medicare during this transition supply?
A: Plans are also required to provide written notice that you're using your transition supply, and explain in writing what your rights are.
Q: When am I entitled to this transition supply?
A: You're entitled to a transition refill when you first enroll in a Part D plan, when you move to a new plan that doesn't cover your current medication, when your current plan drops your medication or imposes new restrictions on the drug, or when you experience a change in your level of care (such as a move from a hospital to a nursing home).
Q: What is the purpose of this transition supply?
A: The 30-day supply is designed to give you time to talk to your doctor about substitute medication or request a coverage exception from your current plan. If you ask for a coverage exception, your plan must provide temporary refills until the request has been processed.
Q: What are some rules to the transition supply?
A: Residents in long-term care facilities get additional protections. If you're in a long-term care facility, your plan must cover all the 30-day refill requests you submit in the first 90 days on the plan. After the first 90 days, the plan must offer an emergency 30-day supply if your request for an exception has not yet been processed.
Our Rating is calculated using information the lawyer has included on
their profile in addition to the information we collect from state
bar associations and other organizations that license legal
professionals. Attorneys who claim their profiles and provide Avvo
with more information tend to have a higher rating than those who do
What determines Avvo Rating?Experience & background
Years licensed, work experience, education
Legal community recognition
Peer endorsements, associations, awards
Legal thought leadership
Publications, speaking engagements
This lawyer was disciplined by a state licensing authority in .
Disciplinary information may not be comprehensive, or updated. We recommend that you always check a lawyer's disciplinary status with their respective state bar association before hiring them.