Medicare Health Plans >> Medication Therapy Management Programs

Medicare Health Plans

Medication Therapy Management Programs

Welborn Health Plans offers medication therapy management programs at no additional cost for members who have multiple medical conditions, who are taking many prescription drugs, and who have high drug costs. These programs were developed for us by a team of pharmacists and doctors. We use these medication therapy management programs to help us provide better coverage for our members. For example, these programs help us make sure that our members are using appropriate drugs to treat their medical conditions and help us identify possible medication errors.

We may contact members who qualify for these programs. If we contact you, we hope you will join so that we can help you manage your medications. Remember, you don’t need to pay anything extra to participate.

If you are selected to join a medication therapy management program we will send you information about the specific program, including information about how to access the program.

Your enrollment in this Plan doesn’t affect Medicare coverage for drugs covered under Medicare Part A or Part B.  Depending on the Medicare coverage criteria there may be some variation in the cost-sharing applied to the drugs.  You may contact our plan about different costs associated with drugs available in different settings and situations.

 

Please contact us if you have any questions at:

Welborn Health Plans Member Services
101 SE 3rd St
Evansville, IN 47708
(812) 426-6600
Toll Free: 1-800-521-0265
TTY users may call: Indiana Relay 1-800-743-3333
FAX: (812) 773-0589

 

 

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 7/2010

H3044_H1558_WHPWeb (10/2009)