The Prescription Drug Program does not apply to those who have coverage through a union Employee Benefit Fund. All participating pharmacies can fill prescriptions for supplies of up to 90 days and refills of up to a year. You may fill your prescriptions through the mail by using the Mail Service Pharmacy. A pharmacist is on call 24-hours a day for emergencies such as questions about dosage, a change in the appearance of medication, or drug interactions. If you use a non-participating pharmacy or you do not use your card at a participating pharmacy, you will pay the pharmacy the full cost of the prescription and then submit a claim for partial reimbursement.
Prior authorization is required for certain drugs.
Drug Safety Review when you use your card. You pay a copayment for most covered medical and surgical services provided by a participating provider. The provider is reimbursed directly by United HealthCare. If you use a non-participating provider, you must pay the provider and file a claim for reimbursement under the Basic Medical Program. After the annual deductible is met, covered services are reimbursed at 80 percent of the reasonable and customary charge.