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Medicare Part D Monitoring Project

How well is the Government doing?
The Medicare Rights Center needs your help to improve the new Medicare drug benefit!
If you’ve signed up for Medicare drug coverage, we’d like to hear your experiences with your new plan. Are your drugs being covered? Have you run into trouble at your doctor’s office, at the pharmacy or when you’ve called for help? We need to be able to tell the folks in Washington where the issues are and demand that the problems be fixed.
Your stories will shape our advocacy efforts. All submissions will be kept anonymous unless the Medicare Rights Center obtains specific permission from you. Read stories that other people have submitted.
Thank you for contributing to this monitoring project.

ZIP Code (required):

Problem:
Medicines not covered or restricted by Part D plan
Not made aware of changes in my Part D plan’s coverage
Difficulty switching Part D plans
Unknowingly signed up for a Medicare Advantage (e.g. HMO, PPO) plan
Unknowingly disenrolled myself from my Medicare Advantage plan
Paying more for my medicines
Reached the coverage gap for my plan where I have to pay 100% of the cost of my drugs (hit the doughnut hole)
Losing retiree coverage
Losing Patient Assistance Program (PAP) coverage
Denied or still waiting to hear on application for Extra Help paying for Part D
Long lines, confusion, and/or chaos at the pharmacy
Happy with my Part D plan
Other: Please describe below

Description: Even if you checked one of the boxes above, please tell us in your own words what the problem is/was:

What steps did you take to address the problem? (e.g. Called 1-800-MEDICARE, State Health Information and Assistance Program (SHIP), Area Agency on Aging, case worker, social worker, nonprofit organization, private Medicare Part D plan)

What happened? What results did you get?

Can you please describe yourself? (Check all that apply.)

Person with Medicare because of age
Person with Medicare because of disability
Person with Medicare and Medicaid
Caregiver/Family member of someone with Medicare
Government official
Social worker/Case manager
Advocate
Other:

Can we follow up with you? If so, please complete the information below:

First Name:

Last Name:

Telephone:

E-mail:

Please enter e-mail again to confirm:

_________________________________

ZIP Code (required):
Problem: Medicines not covered or restricted by Part D plan Not made aware of changes in my Part D plan’s coverage Difficulty switching Part D plans Unknowingly signed up for a Medicare Advantage (e.g. HMO, PPO) plan Unknowingly disenrolled myself from my Medicare Advantage plan Paying more for my medicines Reached the coverage gap for my plan where I have to pay 100% of the cost of my drugs (hit the doughnut hole) Losing retiree coverage Losing Patient Assistance Program (PAP) coverage Denied or still waiting to hear on application for Extra Help paying for Part D Long lines, confusion, and/or chaos at the pharmacy Happy with my Part D plan Other: Please describe below
Description: Even if you checked one of the boxes above, please tell us in your own words what the problem is/was:
What steps did you take to address the problem? (e.g. Called 1-800-MEDICARE, State Health Information and Assistance Program (SHIP), Area Agency on Aging, case worker, social worker, nonprofit organization, private Medicare Part D plan)
What happened? What results did you get?
Can you please describe yourself? (Check all that apply.) Person with Medicare because of age Person with Medicare because of disability Person with Medicare and Medicaid Caregiver/Family member of someone with Medicare Government official Social worker/Case manager Advocate Other:
Can we follow up with you? If so, please complete the information below:
First Name:
Last Name:
Telephone:
E-mail:
Please enter e-mail again to confirm: