Page 12 - Nortek California Employee Guide
P. 12
Open
Enrollment
Prescription Prescription Drug Benefits Included Through
OptumRx
Drug Beneits HRA and HSA Plan participants Only
Coverage for prescription drugs is included in both the HRA and HSA
plans through UnitedHealthcare’s prescription drug beneit provider,
called OptumRx. Over 64,000 retail, online, and mail order pharmacies
participate in the OptumRx network. To locate an in-network
pharmacy prior to becoming a member visit www.welcometouhc.com.
What you pay for your prescriptions will depend on which of the two
medical plans you select and what type of prescriptions you need.
UnitedHealthcare uses a tier system for classifying drugs. Tiers are the
different cost levels you pay for a medication. Each tier is assigned a
cost by the health plan. Tier 1 medications are the lowest cost options.
Medications in Tier 2, 3, and 4 are higher priced medications, but your
doctor may be able to prescribe a similar drug in Tier 1.
Participants in the HRA will pay a set copay for drugs from retail
pharmacies ranging from $10 to $90 per prescription, depending on
Kaiser HMO Rx the drug and the length of the prescription. HSA participants pay the
Coverage full discounted price, until the deductible is met. After the deductible,
If you elect coverage in the Kaiser HMO the member’s responsibility is 20% until the out-of-pocket maximum is
you must obtain your prescriptions met. Once you’ve satisied your out-of-pocket maximum, Nortek pays
through a Kaiser Permanente pharmacy . 100% of the charges.
To locate a Kaiser network pharmacy
visit www .kp .org and click on “Locate
our Services” from the homepage menu . Once you enroll in a United Healthcare plan, you’ll be able to ind our
From there, follow the directions under speciics about particular drugs and their categories on the member
“Find a Facility” to identify a Kaiser site: www.myuhc.com.
network pharmacy location nearest you .
Note: Some large retail stores with pharmacies offer special generics
pricing programs (outside of insurance plans) some for as low as $4.
Check out their programs on the retailers’ internet sites.
How to Find a Pharmacy
For an up-to-date list of participating pharmacies in the OptumRx network, visit myuhc.com, log in and click on
“Manage My Prescriptions” .
12
Enrollment
Prescription Prescription Drug Benefits Included Through
OptumRx
Drug Beneits HRA and HSA Plan participants Only
Coverage for prescription drugs is included in both the HRA and HSA
plans through UnitedHealthcare’s prescription drug beneit provider,
called OptumRx. Over 64,000 retail, online, and mail order pharmacies
participate in the OptumRx network. To locate an in-network
pharmacy prior to becoming a member visit www.welcometouhc.com.
What you pay for your prescriptions will depend on which of the two
medical plans you select and what type of prescriptions you need.
UnitedHealthcare uses a tier system for classifying drugs. Tiers are the
different cost levels you pay for a medication. Each tier is assigned a
cost by the health plan. Tier 1 medications are the lowest cost options.
Medications in Tier 2, 3, and 4 are higher priced medications, but your
doctor may be able to prescribe a similar drug in Tier 1.
Participants in the HRA will pay a set copay for drugs from retail
pharmacies ranging from $10 to $90 per prescription, depending on
Kaiser HMO Rx the drug and the length of the prescription. HSA participants pay the
Coverage full discounted price, until the deductible is met. After the deductible,
If you elect coverage in the Kaiser HMO the member’s responsibility is 20% until the out-of-pocket maximum is
you must obtain your prescriptions met. Once you’ve satisied your out-of-pocket maximum, Nortek pays
through a Kaiser Permanente pharmacy . 100% of the charges.
To locate a Kaiser network pharmacy
visit www .kp .org and click on “Locate
our Services” from the homepage menu . Once you enroll in a United Healthcare plan, you’ll be able to ind our
From there, follow the directions under speciics about particular drugs and their categories on the member
“Find a Facility” to identify a Kaiser site: www.myuhc.com.
network pharmacy location nearest you .
Note: Some large retail stores with pharmacies offer special generics
pricing programs (outside of insurance plans) some for as low as $4.
Check out their programs on the retailers’ internet sites.
How to Find a Pharmacy
For an up-to-date list of participating pharmacies in the OptumRx network, visit myuhc.com, log in and click on
“Manage My Prescriptions” .
12
