What should I do if the pharmacy isn’t charging my Extra Help copays?

Short answer: Contact the drug plan and give it proof of Extra Help, telling the plan how many days of medicine the person has left. If that doesn’t fix it, call 1-800-MEDICARE, which can confirm the person’s Extra Help level and get the plan to correct it.

Medicare.gov’s steps when an Extra Help person is paying the wrong amount:

  • Contact the drug plan. The plan may ask for proof that the person gets Extra Help so it can correct the cost-sharing.
  • Tell the plan how many days of medication are left. The plan and Medicare try to fix it before the person runs out.
  • Call 1-800-MEDICARE (1-800-633-4227; TTY 1-877-486-2048) to confirm the person’s level of Extra Help and get the costs fixed with the plan.

This happens most often right after someone qualifies, before the plan’s records are updated.

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