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 on 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 $100)	30% coinsurance (max $100)	20% coinsurance after deductible
  Non-formulary	40% coinsurance (max $100)	40% coinsurance (max $100)	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.