Prescription Drug Coverage

My Health

Prescription Drug Coverage

All medical plans include prescription drug coverage.

• BCBSIL Plans (through Prime Therapeutics)

  You can fill a 30, 60, or 90 day supply of medication at an in-network pharmacy or you can use the mail-order pharmacy to have a 90-day supply delivered right to your home. Download the MyBlueRxIL pharmacy app, which allows you to compare drug costs at different pharmacies, find lower-cost drug options, and get reminders when it's time to refill your prescription.

  BCBS of IL	PPO Plus Plan In Network	PPO Plan In Network	HSA Plan In Network
  Generic	$10	$10	20% coinsurance after deductible
  Formulary	30% coinsurance (max $150)	30% coinsurance (max $150)	20% coinsurance after deductible
  Non-formulary	40% coinsurance (max $150)	40% coinsurance (max $150)	20% coinsurance after deductible

• HMSA plans (Hawaii Associates – through HMSA)

  	PPO	HMO
  Out-of-Pocket Maximum (Single/Family)	$3,600/$4,200	$3,600/$4,200

  Rx Copays (30 Day Supply)

  Generic	$7	$7
  Preferred	$30	$30
  Other Brand Name	$30 plus $45 Tier 3 cost share	$30 plus $45 Tier 3 cost share
  Preferred Specialty	$100	$100
  Other Brand Name Specialty	$200	$200

• Mail-Order Pharmacy - BCBSIL Plan

  Choosing mail-order for your long-term medicines provides convenient delivery of your medications directly to your home.

  There are many options to get started:

  - Visit express-scripts.com/rx or myprime.com and follow the links to Express prescriptions Pharmacy to register and create a profile. From there you can send a new prescription or refill an active prescription

  - Call 833-715-0942 to start, transfer, or refill a prescription. Make sure you have your BCBS Member ID card, prescription information, and doctor's contact information ready.

  - Send your prescription order through the mail with an order form.