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