Quartz Dual Eligible Tips for Reducing Drug Costs

There may be a different medication that will treat your condition that is in a lower tier which may cost you less every month. Show the formulary to your doctor. Your doctor can help find the cheapest medication that is right for you.

Quartz Medicare Advantage has different drug tiers. If your doctor has prescribed a drug in a more expensive tier, you might be able to pay a lower tier cost if you can show that – The lower-tiered drug options would not work as well as the prescribed drug and/or that using the lower tier would likely cause medical problems. Your doctor would need to include that information and may send it to us by filling out a Medicare Prescription Drug Coverage Determination Form. Note: drugs in Tier 5 (Specialty) are not eligible for a Tier Exception.

If you have a limited income, Medicare has a program that can help: Extra Help

This program can help you pay for Medicare prescriptions. It may even help with premiums, deductibles and coinsurance. For more information, do one of the following:

1. Visit socialsecurity.gov/prescriptionhelp (By clicking on this link, you will leave the Quartz Medicare Advantage website)
2. Call (800) 772-1213 (TTY users call (800) 325-0778)
3. Apply in person at the local Social Security office.

Be sure to fill out the Extra Help application to find out if you qualify for other subsidy programs.

Your doctor’s office or healthcare center may have a social worker available. Social workers can help you find ways to save money on medicine.

Some drug manufacturers will provide medication at no charge to those who are eligible for their program. If you qualify, the manufacturer will mail the medications to you or your doctor’s office.

Learn more… (By clicking on this link, you will leave the Quartz Medicare Advantage website)

Many states offer help paying drug plan premiums and / or other drug costs.

Learn more: medicare.gov/pharmaceutical-assistance-program/state-programs.aspx (By clicking on this link, you will leave the Quartz Medicare Advantage website.)

Rx Outreach is a fully licensed nonprofit mail order pharmacy. Rx Outreach provides prescription drugs to people who are uninsured or have limited drug coverage. It offers lower prices for more than 400 medications. Eligibility is based on income.

Learn more: rxoutreach.org (By clicking on this link, you will leave the Quartz Medicare Advantage website.)

The ADRC (and similar programs) may offer benefits specialists and social workers who can help you answer medication coverage questions and concerns regarding ability to pay, housing questions, assistance with forms and applying for programs, and much more.

Illinois– Contact AgeOptions at (800) 699-9043 or click the provided link (By clicking on this link, you will leave the Quartz Medicare Advantage website)

Iowa – Contact Lifelong Links at (866) 468-7887 or click the provided link (By clicking on this link, you will leave the Quartz Medicare Advantage website)

Minnesota  Contact Senior LinkAge Line at (800) 333-2433 or click the provided link (By clicking on this link, you will leave the Quartz Medicare Advantage website)

Wisconsin (By clicking on this link, you will leave the Quartz Medicare Advantage website)

Medications may cost less when filled for a three month supply through mail order. See your copayment amounts under the Drug Coverage section to see what you would pay through mail-order. Learn More

Participating pharmacies can accept donated, unused, sealed medications. These can then be dispensed by a pharmacist to other patients for a minimal charge.

If you would like to donate medications, or find a pharmacy to obtain a donated medication for little or no cost to you, follow the link below to find a participating pharmacy:

Illinois (By clicking on this link, you will leave the Quartz Medicare Advantage website)

Iowa (By clicking on this link, you will leave the Quartz Medicare Advantage website)

Minnesota (By clicking on this link, you will leave the Quartz Medicare Advantage website)

Wisconsin (By clicking on this link, you will leave the Quartz Medicare Advantage website)