Faye - Oh Yes! Blue Cross for Medicare made BIG changes to drug coverage on January 1st. We were assured it would be "transparent" to us. It has been anything but - drugs we have taken for years were denied as "not medically necessary." Our doctors had to send "proof" that we had failed other forms of treatment before they would approve the medication for ONE YEAR (these are for chronic conditions and we will likely need them for the rest of our lives.)

Then they reassigned the meds to a higher tier in the formulary (these are not new drugs, one even has a generic version available) so the co-pay is higher. They also stopped providing a 90-day supply through the Mail Order Pharmacy service, leaving us to go out on our own and try to find them available locally. And, if I read my information correctly, I get to do this all over again in January - this time with 4 or 5 meds, not just two. Yippee.

As Irene noted, by Medicare rules, inhaled drugs fall under Medicare Part B, not D. So they should pay 80% and any supplement you have should pick up most of the rest.

But the Medicare appeal process is the same in any case - the organization that denies the coverage must provide you the forms to fill out for appeal, and the address, email link and phone number for where to send it. And depending on the issue, they must answer your appeal within 14 calendar days or 7 business days.