How do I request an exception to the Aetna Medicare Preferred Drug List?
You can ask Aetna to make a medical exception to our coverage rules. There are several types of exceptions that you can ask us to make: • If you are enrolled in a Medicare closed formulary plan, you can ask us to cover your medication even if it is not designated as covered on the Aetna Medicare Preferred Drug List. • You can ask us to waive coverage restrictions or limits on your medication. For example, for certain medications Aetna limits the amount of the medication that we will cover. If your medication has a quantity limit, you can ask us to waive the limit and cover a higher quantity. • If you are enrolled in a Medicare open formulary plan, you can ask us to provide a more favorable level of coverage for non-preferred medications. If your brand name medication is usually considered a non-preferred medication, you can ask us to cover it as a preferred medication instead. This would lower the amount you must pay for your medication. When you are requesting an exception, you should
You can ask Aetna to make a medical exception to our coverage rules. There are several types of exceptions that you can ask us to make: • If you are enrolled in a Medicare closed formulary plan, you can ask us to cover your medication even if it is not designated as covered on the Aetna Medicare Preferred Drug List. • You can ask us to waive coverage restrictions or limits on your medication. For example, for certain medications Aetna limits the amount of the medication that we will cover. If your medication has a quantity limit, you can ask us to waive the limit and cover a higher quantity. • If you are enrolled in a Medicare open formulary plan in 2009, you can ask us to provide a more favorable level of coverage for non-preferred medications. If your brand name medication is usually considered a non-preferred medication, you can ask us to cover it as a preferred medication instead. This would lower the amount you must pay for your medication. When you are requesting an exception, yo
