BlueRx and BlueRx Express plans combine your prescription drug benefit with your medical benefit. Your prescription costs are subject to the same deductible and out-of-pocket maximums that apply to your other medical costs. Some plans also have an additional deductible for prescription drugs. When you use a network pharmacy for your prescriptions, the pharmacist uses a computer to check your benefits and tell you the amount you must pay for your prescriptions. You always pay the lower of the pharmacy’s prices or our special discounted prices for your prescriptions.
If you have the BlueRx plan, you must complete a prescription drug claim form and attach your prescription receipt(s) in order to receive reimbursement. Mail the completed and signed form and your receipt(s) to the address on the form. If you have the BlueRx Express plan, we automatically file your claim(s) for you. Then, depending on your benefit, you should receive your reimbursement within two to four weeks after you receive your prescription(s).
No matter which plan you have, your benefits determine the amount we reimburse you for your prescriptions. If you don’t use a network pharmacy for your prescriptions or you don’t show your ID card, we may only reimburse you the amount you would have paid at a network pharmacy, even if you paid more than the network pharmacy price.
Log into My Health Toolkit® for personal information about your prescription drug coverage.