(1)
Look for the information identifying your prescription drug plan.
If you
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,
- (2)
PCN,
- (3) Rx BIN, and
- (4) Group ID (or Rx Group).
With these four (4) numbers, you can get prescriptions
filled while waiting for your new Member ID card to arrive.
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. The telephone number for Member Services can be found on almost all of your plan's written correspondence or the plan's website.
If you cannot find your plan's Member Services number on any of your plan's printed information or website, we have the
telephone number for most Member Services departments online, just click on the plan’s
name when 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 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 - Part 1.
You can give the pharmacy the acknowledgement, confirmation, or welcome
letter you got from the plan or the 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). And if you can't find your card, you can provide your pharmacist with your Medicare number or the last 4 digits of your Social Security Number. Please remember that the process your pharmacy will have to go through 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).
Tip: Please do not just send your receipts to your Medicare plan without also submitting the properly completed reimbursement forms.
Tip: 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).