Page 8 - 2015 Enrollment Guide
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Medical and Prescription Drug
Coverage
Medical and Prescription Drug Coverage
UnitedHealthcare will continue to administer Optimas’ comprehensive
medical plan. Both the Traditional Choice Plus PPO plan and the
Consumer HSA Choice Plus plan provide a wide range of medical
coverage beneits which cover major medical services and prescription
coverage.
Prescription drug coverage is an important part of our medical
program. Effective July 1, 2015, UnitedHealthcare’s OptumRx will
replace Catamaran Rx as the new administrator of our prescription
drug program. While there are no changes to the coverage levels with
OptumRx compared to Catamaran Rx, we encourage you to review and
become familiar with Optum’s program. OptumRx includes an Expanded
Preventive Drug list with all listed drugs covered at 100 percent, with no
deductible required. As was required under the Catamaran Rx program,
you are permitted to receive two ills of any medication on the Expanded
Preventive Drug List at a local pharmacy, then must transfer your
prescription to the OptumRx mail order program. You may not receive
more than two ills of your medication at a local pharmacy. See page
9 for instructions on transferring your prescription to OptumRx mail
order program. In compliance with the Affordable Care Act, the list of
medications included on the HCR Preventive drug list are also covered at
100 percent. These medications may be illed at a retail pharmacy and are
not required to be transferred to mail order.
Optimas OE Solutions Holdings, LLC
Medical and Prescription Drug
Coverage
Medical and Prescription Drug Coverage
UnitedHealthcare will continue to administer Optimas’ comprehensive
medical plan. Both the Traditional Choice Plus PPO plan and the
Consumer HSA Choice Plus plan provide a wide range of medical
coverage beneits which cover major medical services and prescription
coverage.
Prescription drug coverage is an important part of our medical
program. Effective July 1, 2015, UnitedHealthcare’s OptumRx will
replace Catamaran Rx as the new administrator of our prescription
drug program. While there are no changes to the coverage levels with
OptumRx compared to Catamaran Rx, we encourage you to review and
become familiar with Optum’s program. OptumRx includes an Expanded
Preventive Drug list with all listed drugs covered at 100 percent, with no
deductible required. As was required under the Catamaran Rx program,
you are permitted to receive two ills of any medication on the Expanded
Preventive Drug List at a local pharmacy, then must transfer your
prescription to the OptumRx mail order program. You may not receive
more than two ills of your medication at a local pharmacy. See page
9 for instructions on transferring your prescription to OptumRx mail
order program. In compliance with the Affordable Care Act, the list of
medications included on the HCR Preventive drug list are also covered at
100 percent. These medications may be illed at a retail pharmacy and are
not required to be transferred to mail order.
Optimas OE Solutions Holdings, LLC
