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New year reminder about your pharmacy benefit

Friday, January 31, 2020

On Jan. 1, your pharmacy deductible started over.

Current and pre-Medicare members

  • The HealthChoice High, High Alternative, Basic and Basic Alternative plans have a $100 per person pharmacy deductible or a $300 maximum per family deductible before the standard HealthChoice copay structure applies.
  • High Deductible Health Plan members must meet the combined medical and pharmacy deductible ($1,750 individual/$3,500 family) before the standard HealthChoice copay structure applies.
  • The HealthChoice Preventive Medication List is an expanded list of generic medications that are not subject to the deductible and pay at the normal generic copay level of up to $10 for a 30-day supply and up to $25 for a 90-day supply. These medications are available on all non-Medicare plans that have a pharmacy deductible, which includes the High, High Alternative, Basic and Basic Alternative plans and HDHP. View the list at www.healthchoiceconnect.com. Select Pharmacy Benefits under Member Additional Resources.

Prescription ID cards – new or replacement

  • You can request an ID card by calling CVS Caremark toll-free at 877-720-9375 or TTY 711.
  • You can also print a temporary ID card by registering at www.caremark.com. Select Print My Prescription Benefit Card from the drop-down menu under Understand My Plan & Benefits.

Note: Pharmacy ID cards do not list covered dependents.

Medicare members with Part D

Prescription ID card – new or replacement

  • You can request an ID card by calling HealthChoice SilverScript toll-free at 866-275-5253 or TTY 711.
  • You can also print a temporary ID card by registering at www.caremark.com. Select Print My Prescription Benefit Card from the drop-down menu under Understand My Plan & Benefits.

Note: Each individual ID number begins with the letter G.

High Option

  • The HealthChoice SilverScript High Option Medicare Supplement Plan has a $100 per person pharmacy deductible before the standard HealthChoice SilverScript copay structure applies.

Low Option

  • Please review your 2020 SilverScript Low Option Evidence of Coverage, which you should have received in the mail. It explains what you pay for your Part D prescription drugs and the four cost-sharing tiers.
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