Drug Plan Transition

If you are new to our plan or affected by a level of care change you may be taking medications that are NOT included on the plan’s drug list. In this case, you may be eligible for a temporary supply of that medication during your transition. You’ll qualify if you:

  • Enroll into a prescription drug plan during open enrollment
  • Become eligible for Medicare after the 1st of the year
  • Switch from another plan to our plan after the 1st of the year
  • Are affected by a level of care change (for example, admitted or discharged from a long-term care facility)
  • Are affected by formulary changes from one year to the next

This transition coverage may continue your current medication, allowing time for your doctor to:

  • Change your prescription to an alternate medication that’s included on the plan’s formulary
  • Send an exception request so your medication will continue to be covered based on medical necessity

Learn more details about our transition policy:

Downloadable Materials
2018 Prescription Drug Transition Policy