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Life Insurance

We break down barriers to understanding life and final expense policies. View guides or read reviews of popular plans.

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Medicare

Medicare can be complicated. Explore our guides to basic coverage, supplement plans, Medicare Advantage, and more.

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Home Insurance

Homeowners insurance doesn't work like you might think - we've done our homework to understand the policy options and benefits out there. Start by scouting your options, or viewing our reviews.

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We've done the work to learn what goes into auto insurance. View guides to getting the best rates or browse provider reviews.

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Pet Insurance

Pet Insurance can be complicated. Explore our guides to basic coverage, end-of-life plans, chronic health conditions, and more.

Coverage Determination (Part D) | Medicare Glossary

Back to Medicare Glossary Terms

The initial decision made by your Medicare drug plan (not the pharmacy) about you prescription drug benefits. This includes:

  • whether a particular drug is covered

  • how much you are required to pay for a drug

  • whether you have met all requirements for obtaining a requested drug

You must call or write your plan to make an exception. The Medicare drug plan must make a decision in a timely manner (72 hours for standard requests, 24 hours for expedited requests).