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
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Downloadable Materials
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2020 Prescription Drug Transition Policy |