Consumers

Beneficiary Complaints Involving Prescription Drugs

Medicare began paying for prescription drugs for beneficiaries on January 1, 2006. This prescription drug benefit is also known as "Medicare Part D." In order to participate each beneficiary must sign up for a plan.

As the Medicare Quality Improvement Organization for Connecticut, Qualidigm is responsible for reviewing written complaints about the quality of care or services provided to Medicare beneficiaries in all kinds of settings including those related to the prescription drug benefit.

Some examples of the types of medication concerns Qualidigm can help you resolve:

• You believe that your doctor gave you misleading or incorrect medical information about the medicines you take.
  
• You experienced an allergic reaction to a drug that was prescribed for you, even though the doctor knew that you had a bad reaction to that medicine in the past.
  
• You think you received incorrect medical information from a representative of a pharmacy plan's Medication Therapy Management Program.
  
• You believe that your medications were inappropriately changed after receiving Medication Therapy Management services.

 Call 1.800.MEDICARE (1.800.633.4227) or contact Qualidigm at 1.800.553.7590.

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