Drug Card plans make it easy for you to get the prescriptions you need. When you use a network pharmacy, you don’t have to file claims or wait for reimbursement. You pay the pharmacy the final amount due from you for your prescriptions. The pharmacist uses a computer to check your benefits and tell you the amount you must pay. You pay the lower of the pharmacy’s price, our special discounted price or the copayment or coinsurance that applies to your prescription.
Some Drug Card plans also combine the amounts you pay for your prescriptions with the amounts you pay for any medical care you receive. When you satisfy your deductible, the pharmacy will collect any copayment or coinsurance due from you. When you satisfy your out-of-pocket maximum, you will no longer pay for prescriptions for the remainder of your plan year. And if we administer your Health Reimbursement Account, we may submit your claim for reimbursement for you, depending on your benefits.
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. You will also have to complete a prescription drug claim form and attach your prescription receipt(s) in order to receive reimbursement.
Log into My Health Toolkit® for personal information about your prescription drug coverage.