Dean Advantage Part D pharmacy benefits

Medications can play a significant role in your health care. The following information will help guide your decisions about medications and answer questions about your Medicare pharmacy benefits.

Need Extra Help?

You may be able to get Extra Help to pay for your prescription drug premiums and costs. To see if you qualify for Extra Help, call:

  • 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/7 days a week;
  • The Social Security Office at 1-800-772-1213 between 7 am and 7 pm, Monday through Friday. TTY users should call 1-800-325-0778; or
  • Your State Medicaid Office.

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Utilization Management for Prescription Drugs

Some covered medications have additional requirements, such as a prior authorization requirement or limits on coverage. You may access Dean Advantage prior authorization forms here.

Pharmacy Benefit Guideline FAQ

Read some common questions and answers on Medicare pharmacy (Part D) topics.

Vaccine Coverage

Read about how some vaccines are covered under the Part D benefit and when vaccines are covered under Medicare Part B.

PART D COVERAGE DETERMINATIONS, EXCEPTIONS, APPEALS AND GRIEVANCES

Read more about Part D coverage determinations, exceptions, appeals and grievances.

You can contact Member Services if you need additional information, including:

  • How we control the use of services and costs
  • The number of appeals and grievances filed by our members
  • A summary description of how we pay our doctors
  • A description of our financial condition, including a summary of our most recent audit statement


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