After enrolling in a Medicare Part D plan, the Medicare plan provider (such as WellCare or Humana or United Healthcare) will need about 10 business days to send you a new Member "Welcome" package or a letter confirming your enrollment.
Medicare plans may then need up to five (5) weeks to send you a new Member ID card.
In addition, if you enroll late in the annual Open Enrollment Period (AEP - October 15th through December 7th), your Medicare plan provider may need a little extra time to process your enrollment due to the higher volume of activity.
If you are still waiting for your new drug plan's Member ID card to arrive, there are still several things you can do to use your Medicare Part D prescription drug coverage:
(1) Look for the information identifying your prescription drug plan.
have received an enrollment confirmation or “Welcome” letter from your Medicare
Part D prescription drug plan or Medicare Advantage plan, the letter should include your:
- (1) Member ID number,
- (3) Rx BIN, and
- (4) Group ID (or Rx Group).
With these four numbers, you can get prescriptions
filled while waiting for your new Member ID card.
If you cannot find this information, you can telephone your plan’s Member Services
department and ask a representative for these four numbers that identify your
Medicare plan coverage.
We have the
telephone number for most Member Service departments online, just click on the plan’s
name using our Medicare Advantage Plan Finder or MA-Finder
(enter your ZIP to begin) or our stand-alone Medicare Part D Plan Finder or PDP-Finder
(choose your State to begin).
(2) Use the Medicare.gov system.
Check your myMedicare.gov
account on the government's Medicare website for information about your chosen Medicare plan - and you may be able to print a temporary copy of your Medicare card. (Please note, you will need to set up your https://myMedicare.gov
account before this information is available.) You can then use your Medicare card to learn more about your current Medicare drug plan coverage.
(3) Use your Medicare plan's online or web-based system.
Check with your Medicare plan's online member system (start on the plan's website and look for the "Member Portal" or similar link), then set up a login to the member system (following the instructions on the screen), and you may be able to print or download a temporary Member ID card.
(4) Telephone a Medicare representative for assistance.
You can telephone a Medicare
representative at 1-800-633-4227 and a Medicare representative can look up your chosen Medicare plan. You can then ask for the Member Services telephone number, contact the
plan, have a new Member ID sent, and obtain the four numbers (mentioned
above) that you need to receive Medicare Part D drug coverage.
(5) Get help from your local pharmacist.
You can give the pharmacy your enrollment confirmation number that
you received from your plan and the plan name and phone number. The pharmacist may then be able to contact your plan and receive all the necessary member information needed to process your prescription fill.
(6) Get help from your local pharmacist - part 2.
If you can't remember the name of your new Medicare drug plan, your pharmacist may be able to get your drug plan information if you can provide your
Medicare ID number (on your new
red, white, and blue Medicare card - that you received back in 2018
) or the last 4 digits of your Social Security Number. Please remember that this process may take some time and may not be an option if the pharmacy or pharmacist is busy.
(7) Purchase your medications, pay for your drugs without using your Part D drug plan, keep the receipts, and seek reimbursement from your plan.
Lastly, if your Member ID card still has not arrived and you have exhausted all other options (see above), you can buy your formulary prescriptions yourself paying out-of-pocket costs. If you purchase a formulary medication without using your Medicare plan coverage, save your receipts for the drug purchase, and contact your plan's Member Services department for instructions (and forms) on filing a claim for reimbursement (the toll-free Member Services telephone number should be on your plan's printed information and is also found on your Member ID card).
Please do not just send your receipts to your Medicare plan without also submitting the properly completed reimbursement forms.
Remember, you will not be reimbursed for non-formulary drug purchases and your plan may expect that you submit the correct forms and receipts for your drug purchases on a timely basis (within a weeks of the purchase).