Page 10 - 2023 Employee Benefits Guide

Second medical opinion service
2nd MD is a free resource available to all medical plan participants.
If you are dealing with a medical issue or if you are considering surgery,
this resource allows you to receive a second medical opinion from
world-class leading doctors. 2nd MD takes care of collecting your medical
records and connecting you with the right doctor to review your health
issue. This resource may lead you to a better medical outcome and
help save you money. See the benefit contacts section for how to
contact 2nd MD.
Vision benefits summary

Vision coverage is included when you enroll in our medial plan. Vision
benefits are provided through UnitedHealthcare, and include an eye
exam, lenses, and frames once every 12 months. Dependents under the
age of 13 have access to a broader pediatric vision benefit. See the
pediatric vision summary posted on the HR intranet site.

If you use an in-network provider, the copay for a vision exam is $15 and
the copay for materials is also $15. The materials benefit includes
glasses or contacts lenses. The contact lens benefit includes the fitting
and purchase of one pair of contact lenses, or up to six boxes of
formulary disposable lenses.
For a further description of plan coverage, please refer to the vision
summary posted on the HR intranet site. Search for in-network providers
at myuhcvision.com.

Pharmacy benefits summary
Pharmacy coverage is included when you enroll in our medical plan.
Express Scripts is our pharmacy benefit provider. To receive network
benefits, you must present your Express Scripts prescription identification
card at participating pharmacies. If you use an out-of-network retail
pharmacy, you will be required to pay the entire cost of the drug and file
a claim for reimbursement (copayment and coinsurance apply). Our plan
also includes a program to save you money when you fill maintenance
medication. See important details below.
Prescriptions for maintenance medications

You have two options to fill your prescriptions for maintenance
medications under our copayment plan: through Express Scripts mail
order or at Walgreens through Express Scripts Smart90 Rx program.
Maintenance medications are long-term medications you take regularly.
Examples include medications for high blood pressure, cholesterol,
allergies, birth control and diabetic supplies. To determine if your
prescription is considered maintenance medication, contact Express
Scripts. You can also view this information on
Express-Scripts.com.
To benefit from the Smart90 program, ask your physician to write your
prescription for a 90-day supply and fill it at your local Walgreens. If you
fill your maintenance medication at a different pharmacy, or for a
different quantity, you will be charged 100% of the cost for the
medication.

6 Employee Benefits Guide