Value-Based Benefits

printer-friendly
  Overview     Get Prepared     FAQs     Resources  

Because your plan includes Value-Based Benefits, if you are at risk for cardiovascular disease (taking high blood pressure medications in combination with high cholesterol medications) or have asthma, diabetes, or coronary artery disease (CAD), or depression associated with any of these conditions, your coverage can help you more affordably manage your care. Also, if you are a current smoker and are ready to quit, your Value-Based Benefits coverage gives you access to no-cost smoking cessation programs and medications (when prescribed by your doctor).

Fill your prescriptions through our convenient, low-cost mail service pharmacy, and you'll pay the same copayment for a three-month supply of certain Tier 1 and Tier 2 medications as you would for a one-month supply from a retail pharmacy. This is a savings of up to eight copayments per year for each medication.

Your spouse and covered dependents are also eligible for these savings.

Condition
Value-Based Benefits
Asthma Pay less for a three-month supply of certain antiasthmatic medications through the mail service pharmacy. This will help you afford your medications and stay out of the emergency room.
Diabetes Pay less for a three-month supply of certain medications and supplies to help manage blood sugar when you use the mail service pharmacy to fill prescriptions.

There are no copayments for the first two office visits in each calendar year for certain diabetic monitoring care. You can use those two office visits for diabetes evaluation and management, diabetic foot care, and diabetic eye exams.
CAD or Risk of Cardiovascular Disease (taking high blood pressure medications in combination with high cholesterol medications) Pay less for a three-month supply of certain cardiovascular maintenance medications when you use the mail service pharmacy to fill your prescriptions (must be taking high blood pressure medications in combination with high cholesterol medications). This will help you afford your treatment plan and help prevent complications and hospitalizations.
Depression (associated with any of the above conditions) Pay less for a three-month supply of certain generic anti-depressent medications at the mail service pharmacy for members identified as also having asthma, diabetes, or CAD, or being at risk for cardiovascular disease (taking high blood pressure medications in combination with high cholesterol medications).
Smoking Pay nothing for certain smoking cessation medications when prescribed by your doctor. These can be filled through the mail service pharmacy or at your local retail pharmacy.