If you agree to be automatically enrolled in to a preferred plan, you do not need to do anything.
If you DO NOT want to be enrolled in a preferred plan, please sign and date the form enclosed with the letter you received. MoRx must receive the form on or before May 31, 2007.
For dual eligibles, there is really no difference between the plans. All four plans are offering an expanded drug list to MoRx dual eligible members.
All four plans have agreed to work with MoRx to provide you the best possible coverage.
The preferred plans have agreed to expand their drug list for dual eligible members to be more like MO HealthNet's drug list.
No, you will continue to receive the MoRx benefit even if you don't switch to one of the preferred plans.
Yes, unless it is a drug excluded by Medicare. MO HealthNet will cover the Medicare excludable drugs for full benefit duals. For more information about drug coverage for full benefit duals, please see our frequently asked questions page: http://dss.mo.gov/mhd/faq/pages/faqdelig.htm.
The plan you are assigned to will send you information about the specific drugs they typically cover. But for MoRx dual eligible members, all of the preferred plans have agreed to expand their drug list to be more like MO HealthNet's drug list. If you experience any difficulty with drug coverage, please give us a call at 1-866-256-3937.
Yes.
Your costs for your covered prescriptions will not change. However, you may experience a savings if you have prescriptions that have not previously been covered that are now covered by this plan.
Co-payments for dual eligibles are set by the federal government and the change in plans should not affect co-payments. In 2007, for full benefit dual eligibles, your co-pays should not exceed $3.10. For partial duals, whose Medicare Part A or B premiums are paid by the state, your co-pays should not exceed $5.35. Whatever the amount, MoRx will pay 50%.
No. Co-payments for dual eligibles are set by the federal government and the change in plans should not affect co-payments. If your co-payments increase, please call us at 1-866-256-3937.
More of your drugs may be covered. For MoRx dual eligible members, all of the preferred plans have agreed to expand their drug list to be more like MO HealthNet's drug list.
You will have access to more prescription drugs with the preferred plan and MoRx can provide you with better medication management service.
Yes. Dual eligibles may switch to another plan at any time.
You can opt out of the auto-assignment by completing and sending the second page of your letter to MoRx. MoRx must receive the form from you on or before May 31, 2007.
MoRx would like to assist you with the best prescription drug coverage and improved customer service.
As a dual eligible, you can switch plans at any time.
MoRx prefers these plans because they have agreed to expand their drug list to be more like MO HealthNet's drug list for dual eligibles.
Yes. You will continue to receive the current benefit from MoRx.
You will continue to receive the current benefit from MoRx.
The new plan will be sending you information in the mail in July. Or, you may contact the plan directly:
Community Care Rx Basic: 1-800-778-8811 AARP MedicareRx Plan: 1-877-710-5083 AARP Medicare Rx Plan Saver: 1-877-710-5083 First Health Premier: 1-866-865-0662Call us at 1-800-375-1406
You will begin receiving coverage through your new plan on August 1, 2007.
Yes. If you have problems, call us at 1-866-256-3937.
No.
Contact us at 1-866-256-3937.
Yes. However, you should present your new preferred plan's ID card when you go to the pharmacy.
You have been re-assigned to a new plan. Show your pharmacist the card for your new preferred plan and your MoRx card.
Yes.
Call us at 1-866-256-3937.
No. However, for full benefit dual eligibles, MO HealthNet will continue to cover excluded drugs including certain over the counter medications as well as benzodiazepines and barbiturates. There has been no change to this policy since the implementation of Medicare Part D in January, 2006.
Re-assignment into the new plan should minimize prior authorization requirements. If you experience difficulties call us at 1-866-256-3937.
Yes, unless it is a drug excluded by Medicare. MO HealthNet will cover the Medicare excludable drugs for full benefit duals. For more information about drug coverage for full benefit duals, please see our frequently asked questions page: http://dss.mo.gov/mhd/faq/pages/faqdelig.htm.
Re-assignment will not affect your eligibility for Extra Help/LIS. Everything should remain the same. If your co-payments increase, please call us at 1-866-256-3937.
Yes.
No. Your costs for your covered prescriptions will not change. However, you may experience a savings if you have prescriptions that have not previously been covered that are now covered by this plan.
8/20/07
