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This podcast is made by Ran Chen, who holds an EA license, Insurance and Securities licenses (Series 6, 63, 65), and the CFP® designation. He is passionate about opening access to high-quality exam preparation resources and helping learners prepare more effectively for professional certification exams.
In this episode you will learn: - How coverage determinations, formulary exceptions, and tiering exceptions function under Medicare Part D. - Why specialty tier medications are strictly excluded from tiering exception requests on the exam. - The critical difference between grievances for service issues and appeals for coverage denials. - Timeframes for standard 72-hour and expedited 24-hour review requests involving prescribers. - Rules governing 30-day transition supplies during the first 90 days of new plan enrollment.
For more free exam prep tools, practice questions, and AI-powered explanations, visit https://open-exam-prep.com/ or YouTube Channel: https://www.youtube.com/@Open-exam-prep
