Medicare Health Plans

Drug Information

2012 Prescription Drug Coverage (Retail)

WHP provides Prescription benefit coverage locally and nationally though CVS Caremark. These pharmacy benefits are included on plans: Value Rx (HMO), Silver Rx (HMO), Platinum Rx (HMO) and Platinum Select Rx (HMO-POS).

 


Drug information and forms:

Select a topic below for more information:

Filling Prescriptions Outside of the Network
2012 Rx Transition Policy
Drug Management Programs
Medication Therapy Management (MTM) Programs
Drug Exclusions
2012 Silver Rx (HMO) and Value Rx(HMO) Prior Authorization and Step Therapy Criteria
2012 Platinum Rx (HMO) and Platinum Select (HMO-POS) Plans Prior Authorization and Step Therapy Criteria

Prescription Drug Determination Request Form

Prescription Drug Redetermination Request Form

Drug mail order form
Can the formulary change?

 

Welborn Health Plans has contracts with pharmacies that equal or exceed CMS requirements for pharmacy acces in your area. Beneficiaries must use network pharmacies to access their prescription drug benefit, except under non-routine circumstances, and quantity limitations and restrictions may apply.

People with limited incomes may qualify for Extra Help to pay for their prescription drug costs. If eligible, Medicare could pay for up to one hundred (100) percent of drug costs including monthly prescription drug premiums, annual deductibles, and co-insurance. Additionally, those who qualify will not be subject to the coverage gap or a late enrollment penalty. Many people are eligible for these savings and don’t even know it. For more information about this Extra Help, contact your local Social Security office or call 1-800-MEDICARE (1-800-633-4227), 24 hours per day, 7 days per week. TTY users should call 1-877-486-2048.

 

 

Updated 1/2012
H3044_WEB12_CMS_APPROVED_10112011
Welborn Health Plans
Welborn Health Plans

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