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Temporary medication supplies

Transition policy process for new plan enrollees

If you’re a new plan enrollee who was prescribed medication not on our approved drug list (also known as a formulary), we offer a transition policy to provide a temporary supply.

To see if your drug is covered, download the HAP Senior Plus® 2017 formulary or download the HAP Senior Plus® 2018 formulary. Press Ctrl+F (Command+F for Mac) and type in the name of the drug to see whether it’s included in the covered drug list for your type of plan. The drug name will be highlighted.

Please note: Our pharmacists and health care providers meet regularly to update these lists and decide whether to add new drugs or remove previously covered drugs. Downloaded copies may not have the most up-to-date information.

If you’re a HAP member, log in to your account to find detailed information about medications.

Who does the transition policy apply to?

  • New enrollees of prescription drug plans at the beginning of a contract year
  • Newly eligible Medicare beneficiaries from other coverage at the beginning of a contract year
  • People who switch from one plan to another after the beginning of a contract year
  • Enrollees who live in long-term care facilities
  • Current enrollees affected by drug list changes from one contract year to the next

How does the transition policy work?

  • In the retail pharmacy setting, the policy allows you to receive up to a 30-day supply of current medication not on your plan’s drug list or is restricted by utilization management during the first 90 days of coverage under the new plan.
  • In the long-term care setting, the policy allows for the temporary fill of a drug in increments of a 31-day supply during the entire length of the 90-day transition period.

You’ll receive a notice by mail within three business days of your transition fill.

Talk to your doctor so you can be switched to a therapeutically equivalent drug that’s on your new plan’s drug list or request an exception.

Learn more about the transition policy.

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Copyright © 2017 HAP
2017 Health Alliance Plan of Michigan
Y0076_ALL 2018067 2018 WEB 10.1
CMS Approved: 10/24/2017
Last Update 10/1/2017

HAP Senior Plus HMO, HMO-POS, and PPO are health plans with a Medicare contract. Enrollment in these plans depends on contract renewal. HAP Senior Plus PPO is a product of Alliance Health and Life Insurance Company, a wholly owned subsidiary of HAP. Alliance Medicare Supplement is a product of Alliance Health and Life Insurance Company, a wholly owned subsidiary of HAP.

This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums, and/or copayments/coinsurance may change on January 1 of each year. You must continue to pay your Medicare Part B premium. The formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.

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  • HAP Medicare Sales:

    (877) 547-5186 (TTY:711)

  • (800) 868-3153 TTY: 711

    HAP Senior Plus®

    (800) 801-1770 TTY: 711

  • HAP Senior Plus®(PPO)

    (888) 658-2536 TTY: 711

  • Alliance Medicare Supplement:

    (800) 873-7526 TTY: 711