Page 5 - 2022-small-group-renewal-guide
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 Additional products and enhancements
 New HMO health plan: Our new HMO Platinum Preferred health plan offers the lowest primary care and specialist copays of any health plan in the Blue Solutions portfolio. It is also the only plan with a
$0 cost-share for virtual care visits with an in-network primary
care physician.
 Reduced cost-share for virtual care visits:
There is a new site-of-service benefit in most of our health plans to give members more choices for accessing care. These plans feature a reduced cost-share for virtual visits at in-network primary care doctors and specialists.
 Enhanced Keystone Proactive HMO prescription drug benefit:
To help members save money, our Keystone HMO Proactive plans now feature a $100 copay for retail Preferred Brand drugs.1
 Pharmacy network enhancement: The Preferred Pharmacy network now includes Rite Aid pharmacies. Members can get a 90-day supply of maintenance medications at Rite Aid pharmacies at the same cost-share as the mail-order benefit.
 Enhanced vaccine access: Influenza, pneumonia, and shingles vaccines and their administration are now covered under the medical and prescription drug benefit.
This helps make it easier for members to get vaccinated where it’s most convenient for them.3 There will continue to be no cost-share for COVID-19 vaccinations under the medical and pharmacy benefits.
 Coverage for weight-loss drugs: Weight-loss drugs used to treat obesity ― a disease linked to costly medical conditions like high blood pressure and diabetes ― are now covered under the prescription drug benefit.
 Additional option for eyewear: Members can use their in-network vision benefit
at e-commerce provider befitting.com, which offers a unique customized shopping experience powered by artificial intelligence to help members get eyewear to fit their vision needs and personal style.
 1. For Keystone HMO Silver Proactive and Keystone HMO Silver Proactive Value plans, the $100 copay for retail Preferred Brand drugs applies after the prescription drug deductible is met. 2. The pharmacy must be in the FutureScripts participating pharmacy network.
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