Request for a Redetermination for an Aetna Medicare Prescription Drug Denial

Because Aetna Medicare denied your request for coverage of (or payment for) a prescription drug, you have the right to ask us for a redetermination (appeal) of our decision.  You have 60 days from the date of our written denial to ask us for an appeal.

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Medicare Appeals Part D
Medicare Appeals Part D
You can ask for an expedited (fast) decision if you or your prescriber believe that waiting 7 days for a standard decision could seriously harm your life, health, or ability to regain maximum function. We will automatically give you a decision within 72 hours if your prescriber believes that waiting 7 days could seriously harm your health.  If you do not have your prescriber's support for an expedited appeal, we will decide if your case requires a fast decision.  You cannot request an expedited appeal if you are asking us to pay you back for a drug that you already received.
Medicare Appeals Part D

NR_3032_5708a_C 10/2018

Page Last Updated: October 2018