Drug Plan Transition

If you are new to our plan or affected by a level of care change you may be taking medications that are NOT included on the plan’s drug list. In this case, you may be eligible for a temporary supply of that medication during your transition. You’ll qualify if you:

  • Enroll in a prescription drug plan during open enrollment
  • Become eligible for Medicare after the 1st of the year
  • Switch from another plan to our plan after the 1st of the year
  • Are affected by a level of care change (for example, admitted or discharged from a long-term care facility)
  • Are affected by formulary changes from one year to the next

This transition coverage may continue your current medication, allowing time for your doctor to:

  • Change your prescription to an alternate medication that’s included on the plan’s formulary
  • Send an exception request so your medication will continue to be covered based on medical necessity

Learn more details about our transition policy

Document
Downloadable Materials
2020 Prescription Drug Transition Policy