Below you will find a list of frequently asked questions, if you do not find the answers you are looking for please feel free to contact our knowledgeable Member Services Department at 1-866-250-2005; TTY users should call 1-866-763-9630, 24 hours a day, 7 days a week.

What Plans does EnvisionRx Plus offer?
EnvisionRx Plus offers two plans - EnvisionRx Plus Silver and EnvisionRx Plus Gold - which are available in 49 states and the District of Columbia (our plans are not available in Michigan). Open enrollment for 2010 begins on November 15th, 2009.

Is it really necessary to have prescription coverage?
The costs for prescription medications continue to grow each year. Enrolling in a Medicare approved prescription drug plan helps you to reduce your out-of-pocket costs for prescription drugs. EnvisionRx Plus uses a prescription drug formulary to lower your costs and ensure access to quality, safe, cost effective medications.

What is a formulary?
A formulary is a list of covered drugs selected by EnvisionRx Plus in consultation with a team of health care providers, which represents the prescription therapies believed to be a necessary part of a quality treatment program. EnvisionRx Plus will generally cover the drugs listed in our formulary as long as the drug is medically necessary, the prescription is filled at an EnvisionRx Plus network pharmacy, and other plan rules are followed. For more information on how to fill your prescriptions, please review your Evidence of Coverage.

What if a medication I’m already taking is not included on the preferred drug list?
To ease your transition into an EnvisionRx Plus plan, allowances will be made during the first 90 days of coverage to allow you time for you to continue on your current medication, while you and your physician discuss your treatment options.

Which pharmacies can I use to get covered prescriptions filled?
There are more than 57,000 pharmacies that participate in the EnvisionRx Plus national network. This includes pharmacies like Costco, CVS, Longs, Rite Aid, Walgreens, and a large choice of independent pharmacies.

Can I get mail order prescriptions from Orchard Pharmacy?
Yes. If you take daily medications, covered prescription drugs are delivered to your home by Orchard Pharmacy.

What is my monthly premium for the Silver Plan or the Gold Plan?
The premium varies from state-to-state. Contact a Member Services Representative for more information or use the Compare Plans Cost Tool.

How do I pay plan premiums?
You can have your monthly plan premiums deducted from your Social Security checks (just like your Part B premium) or you can pay your premium to EnvisionRx Plus directly. Premium payments may be made by credit card, check, or electronic funds transfer.

How do I enroll?
You can obtain an informational packet and enrollment form by contacting a Member Services Representative or you can enroll online here. Open enrollment for 2010 begins on November 15th, 2009.

What is a medication therapy management (MTM) program?
A Medication Therapy Management (MTM) Program is a program that EnvisionRx Plus offers to qualifying members. The goal of EnvisionRx Plus’ MTM program is to help raise awareness of the importance of your current medication regimen in managing your disease states. All members who meet the following criteria will be automatically enrolled in the EnvisionRx Plus MTM Program:

• Have at least 3 of the following disease states: High Cholesterol, Diabetes, Hypertension or Bone Disease-Arthritis-Osteoporosis
• Be on at least 8 different covered part D drugs
• Average $750/quarter on your total drug spend

It is recommended that you take full advantage of this program if you are selected. This is an added service that is at no additional cost to you. For additional information or to opt out of the program, call Member Services at 1-877-878-6410 24 hours a day, 7 days a week. TTY users should call 1-877-878-6412.