Announcing 90-Day Retail Option for Rx Benefits
Human Resources is pleased to announce the following changes to the Pharmacy Program available through your United Healthcare Plan. We are excited to announce these changes are effective July 1, 2016.
90-day supply at retail
Effective July 1, 2016 employees on one of the university’s health care plans through United Healthcare can obtain a 90-day supply of maintenance medications at participating retail pharmacy locations. This was not previously offered under the plan, however, United Healthcare has made an exception and confirmed its ability to administer the program and filed the plan change with the state of Florida.
Enhanced Prescription Drug List (PDL)
We understand many members were impacted adversely by the pharmacy program changes. Based on this feedback, Human Resources and Brown and Brown negotiated with the UHC reps to implement solutions. Our plans moved to the Enhanced PDL on May 20, with a retroactive date of January 1, a program not previously offered, at no cost to you or the plan.
With the implementation of the new PDL, United Healthcare has run impact reports going back to January 1, 2016. Any claims incurred since the plan’s inception in which members paid a higher price for a medication that was previously excluded or will now be in a lower cost tier, are being reprocessed (we have heard many employees have already received reimbursement from UHC). This process is still ongoing and we are pleased with the ability to offer a solution to those affected. Members who paid out of pocket for their medication, rather than filing a claim, will need to submit a claim form which is available at https://www.stetson.edu/other/benefits/media/OptumRX%20Direct%20Member%20Reimbursement%20Form.pdf. Any questions or issues may be submitted through the escalation mailbox at firstname.lastname@example.org.