HAP

Medication Therapy Management (MTM)

HAP’s Medication Therapy Management (MTM) program is a free service that can help find prescription errors and lower your costs. It will also help make sure you’re using the best therapies to treat your medical conditions.

How can I take advantage of MTM?

In 2017, if you use eight or more medications and spend over $3,919 on medications annually, you will be eligible for our Medication Therapy Management (MTM) Program.

  • If you are eligible, HAP will mail you a letter explaining the program and the potential benefits.
  • An MTM analyst will call you after the letter mailing to help answer any questions you may have on the MTM Program and to set up a telephone appointment with one of our specially trained MTM pharmacists.

HAP wants to make sure all eligible beneficiaries are given the opportunity to participate in the Medication Therapy Management program.

How does it work?

Once you are enrolled, a pharmacist will contact you by phone at a conveniently scheduled appointment time that you choose.

During your telephone appointment, an MTM pharmacist will conduct a Comprehensive Medication Review (CMR), in order to:

  • Discuss your medications and answer any questions
  • Identify any possible drug interactions
  • Highlight potential ways to reduce your drug costs
  • Determine if any medicines need to be adjusted for medication safety or to improve your health

If any medicine changes are needed, the pharmacist will work closely with your physician(s) to make the necessary changes.

After completing the CMR, the pharmacist will mail to you a cover letter sharing your MTM pharmacist’s name and contact information, an Action Plan listing all discussed medication-related concerns and any follow-up steps to be taken. You will also receive a Personal Medication List which includes your prescription and over-the-counter medications, how to take the drug, why you are taking the drug and who prescribed the drug. A blank Personalized Medication List is available for download.

You must have Adobe Reader to download the Personalized Medication List. Download for free (You are leaving a Medicare-approved site).

In addition to the initial comprehensive medication review, all patients who are eligible for the MTM Program will be contacted by letter and phone every three months to help answer any questions you may have about your medications and/or help to make sure you are taking your medications as prescribed by your doctor. This outreach is referred to as a Targeted Medication Review (TMR). CMS requires that all beneficiaries enrolled in MTM receive a TMR every three months.

HAP members who are in the MTM Program do NOT need to change their current physician or pharmacy.

MTM is not considered a Medicare benefit.

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Have questions?

HAP can help. Prospective members may contact a licensed HAP Medicare Sales Representative. Current members should contact HAP Customer Service.

Prospective Members:

Speak with a licensed HAP Medicare Sales Representative

Call: (877) 547-5186
TTY: 711

Office hours:
Monday through Friday, 8 a.m. to 6 p.m. ET.

At all other times, you may access our Interactive Voice Recording system at the same number and leave your name and phone number. A HAP Medicare Sales Representative will return your phone call the next business day.


Current Members:

Speak with HAP Customer Service

HAP Senior Plus: (800) 801-1770
HAP Senior Plus (PPO): (888) 658-2536
Alliance Medicare Supplement: (800) 873-7526
TTY: 711

Office hours:
Monday through Friday, 8 a.m. to 8 p.m. Saturday, 8 a.m. to noon

At all other times, you may access our Interactive Voice Recording system at the same number and leave your name and phone number. A HAP Medicare Customer Service Representative will return your phone call the next business day.

Extended hours from Oct. 1 through Feb. 14: 7 days a week, 8 a.m. to 8 p.m. Or, to contact us by mail:

HAP Customer Service
Attn: Medicare
2850 W. Grand Blvd.
Detroit, MI 48202
Please contact us if you need additional information, including:
  • How we control the use of services and costs
  • The number of appeals and grievances filed by our members
  • A summary of how we pay our doctors
  • A description of our financial condition, including a summary of our most recent audit statement
Email: Msweb1@hap.org

Compliance Hotline: (877) 746-2501

 
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