The National Community Pharmacists Association has asked Medicare
to allow beneficiaries who are confused by preferred network plans to change plans.
The Association said it has receive complaints from Medicare beneficiaries who are unable to receive advertised co-pays at certain pharmacies that are not included in plans’ preferred networks, according to The Hill.
Patients feel misled by advertising, enrollment professionals and information on the government’s Medicare Plan Finder
website, the association said.
"We have expressed our concerns that the websites for some of the preferred plans and their preferred providers do not make patients aware they must obtain drugs from a preferred provider in order to obtain the advertised lower co-pays," said the NCPA’s group senior vice president for government affairs, John Coster, in a letter addressed to Center for Medicare Director Jonathan Blum. "These website and paper-based advertisements were at best confusing and at worst misleading to beneficiaries.”
The letter says that the problem has been understated by the government.
"Merely because patient complaints are not logged into the CMS
complaint tracking module … does not mean they do not exist,” Coster wrote.
The NCPA letter requested that CMS provide an alternative way through which patients can log complaints regarding the issue.