What pharmacies are covered under our plan?
A list of pharmacies is available in the Employee Benefits Guide distributed to you prior to Open Enrollment. You can also search for a pharmacy through the District's on-line Rx Drug Website. Click on the following link to access the site myuhc.com. You will be asked to register for access for your first time. The registration process is simple and the site provides invaluable information concerning your Rx Drug Plan, Rx pricing, pharmacy locator, etc...
How can I help in reducing cost for myself and the District to avoid continued increases in co-pays and coverages?
One way is to always ask your doctor to prescribe generic medications, when available. Think generic drugs are second-rate phonies? Well think again! Generics are just like brand-name drugs, except for the price (it's lower). These drugs have the same active ingredients, same quality, same strength, and purity, but at a substantially lower price.
Are attention deficit disorder medications for adults covered?
No, unless you provide a letter from your doctor with an explanation of why the prescription is medically necessary. In that case, normal co-pays apply depending upon the type of drug (generic or brand) prescribed by your doctor.
Since there are no employee discounts any longer for 90-day supply, should I continue to use the mailorder or 90-day supply program?
Yes, drugs are more expensive at local pharmacies than they are through the mail-order program. That's why you should fill only short-term prescriptions (maximum 30-day supply for one co-pay) at local pharmacies. For long-term maintenance medications, continue to use the mail-order drug program, or other pharmacies agreeing to use 90-day supply discount cost. It's cheaper for the District (lower prices) which can provide savings to the Plan that can be used in offset rate increases in future years. And that means lower premiums for everyone.
Do we have a network of preferred dental providers?
No, there is no dental network. You may see the dentist of your choice.
How does my dental coverage work?
You and the plan share the cost as follows:
- First the plan pays 90 % of the first $125 of covered expenses.
- Next you pay a $100 deductible (up to 3 per family)
- Then the plan pays 50% of covered expenses (up to $800 maximum annual benefit per person)
- And you pay the remaining amount including all charges above reasonable and customary.
How does orthodontic coverage work?
Orthodontic care is for children only (under age 19). You and the plan share the cost as follows:
- The plan pays 50% of covered services (up to $1,000 lifetime benefit per child)
- You pay the remaining amount including all charges above reasonable and customary.