Your first step would be to call the Member Services telephone number on the back of your Membership ID card to speak with someone about your claim.
If you cannot find your plan’s contact information, we also have Member Service telephone numbers for most all Medicare Part D plans in our Medicare Part D plan finder -
PDP-Finder.com – just choose your state and click on the plan name. We have the same Member Services contact information on our Medicare Advantage plan coverage pages (start with
MA-Finder.com and enter your Zip and then click on the plan name you wish to reach) – the Member Service’s telephone number is listed at the top of the plan detail page.
If you have already done that and are looking for information about the Medicare Part D appeals process, the link below will take you to a chart describing the Medicare Part D appeals process and the telephone number for the group handling appeals.
q1medicare.com/PartD-MedicarePartDAppealsProcessChart.php
If you are looking for the Plan Sponsor Contacts for Exceptions and Appeals, you can find our search tool here (just enter the Plan ID):
q1medicare.com/PartD-ExceptionsAppealsPlanContactInfo.php
For more information about Prescription Drug Coverage Determinations and Exceptions, Appeals & Grievances see:
q1medicare.com/PartD-DrugListExceptionAppealGrievance.php