Frequently Asked Questions

Q: Can I pay my premiums with a credit or debit card?

Premiums can be paid with a credit or debit card by calling the number that is listed on your monthly premium statement. If you do not have your premium statement available, please call Customer Service at 1-866-684-5353 8:00 a.m. to 8:00 p.m. in your local time zone (TTY users call 1-866-684-5351) every day.

Q: Can I have my premiums deducted from my Social Security Administration check each month?

You can have your premiums deducted directly from your Social Security check. Please call Customer Service 1-866-684-5353 8:00 a.m. to 8:00 p.m. in your local time zone (TTY users call 1-866-684-5351) every day.

Q: How can I request coverage of a medicine that my pharmacist says is not covered under my plan?

Forms to request coverage are available on this Web site under Exceptions and Prior Authorizations. You can print the form and take it to your doctor to complete. If you are unable to download or print the forms, your doctor can call our Appeals department at 1-866-316-6049 from 8:00 a.m. to 8:00 p.m. in your local time zone every day, to make a request for coverage.

Q: How can I find a pharmacy in my area or in an area where I am visiting?

You can locate pharmacies from this Web site by clicking on Find a Pharmacy. If you need further assistance locating a pharmacy, please call Customer Service at 1-866-684-5353 8:00 a.m. to 8:00 p.m. in your local time zone (TTY users call 1-866-684-5351) every day.

Q: What is a Medicare Advantage Prescription (MA-PD) Plan?

Medicare Advantage Plans with integrated prescription drug coverage (MA-PDs) are health plan options that are part of the Medicare program and include prescription drug coverage. If you join one of these plans, you generally get all your Medicare-covered healthcare through that plan.

Q: Am I eligible to enroll, disenroll or change plans outside of the Annual Election Period (AEP)?

You may be eligible to make these changes outside of the Annual Election Period under certain conditions as established by the Centers for Medicare and Medicaid Services (CMS). Some reasons for an exception include a permanent change in residence, becoming newly eligible or losing assistance with your Part D coverage and loss of Employer or other Health coverage. To see if you may qualify for an enrollment change, please call Customer Service at 1-866-684-5353 8:00 a.m. to 8:00 p.m. in your local time zone (TTY users call 1-866-684-5351) every day.

Q: What is the difference between preferred and non-preferred drugs?

Preferred brand medications are generally priced lower from the manufacturer or may have rebates available which allows Community CCRx to pass along the savings to members by reducing the copayment amounts on these medications.

Q: Does Community CCRx offer mail order?

At this time, Community CCRx does not offer mail order for medications.

Q: Does Community CCRx offer 90-day supply?

Yes, you may fill up to a 90-day supply of your medications.

Q: Do I have to enroll with Community CCRx every year?

Your enrollment will automatically continue from one benefit year to the next without any action required on your part.

Q: Does Community CCRx offer Extra Help for low-income subsidy (LIS) beneficiaries?

If you are eligible for assistance with your Medicare Part D Premiums and copays because you receive assistance from your state Medicaid program or have applied and been awarded assistance from the Social Security Administration, that assistance will be applied to your premiums and copayments. Community CCRx does not award assistance directly. If you believe you may qualify for assistance, contact your state Medicaid department or contact the Social Security Administration by calling 1-800-772-1213 or by logging on to www.ssa.gov.

Q: Where can I obtain a Claim Reimbursement form?

Reimbursement forms can be viewed and printed from this Web site. If you are unable to view or print these forms, please call Customer Service 1-866-684-5353 8:00 a.m. to 8:00 p.m. in your local time zone (TTY users call 1-866-684-5351) every day.

Q: Can I access my Explanation of Benefits (EOB) online?

Currently you cannot view this information online. If you need a replacement copy of your Explanation of Benefits (EOB), please call Customer Service at 1-866-684-5353 8:00 a.m. to 8:00 p.m. in your local time zone (TTY users call 1-866-684-5351) every day.

Q: How can I set up an Electronic Funds Transfer (EFT)?

Requesting EFT deductions must be done by completing a specific form. Please call Customer Service at 1-866-684-5353 8:00 a.m. to 8:00 p.m. in your local time zone (TTY users call 1-866-684-5351) every day to request the form needed.* Once the completed form is received, EFT deductions should begin within two billing cycles.

Q: How do I request a replacement member ID card?

Please call Customer Service at 1-866-684-5353 8:00 a.m. to 8:00 p.m. in your local time zone (TTY users call 1-866-684-5351) every day to request a replacement member ID card.

*Part D Member Premium Reminder: If you decide to switch to premium withhold or move from premium withhold to direct bill, it could take up to three months for it take effect and you will ultimately be held responsible for those premiums.