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Chronic Disease Management Program

Manage your Chronic Disease

Employee Health is a priority. The Plan has partnered with Doctors Direct Healthcare and Chancy Drugs to create an innovative approach to manage chronic disease and promote healthy lifestyles.

Members of a multi-disciplinary team will maintain contact and provide education information and support to meet mutually agreed upon goals for Covered Persons who have:

  • Hypertension (high blood pressure)
  • Hyperlipidemia (high cholesterol)
  • Asthma
  • Cardiovascular (heart) Disease

Participation is free and completely voluntary and program participants are eligible for reduced medication copays. This program does not change or modify any other condition, limitation or exclusion of your Plan.

Disease Management Pharmacy Benefits
The following benefits apply to medications that treat the following conditions: Hypertension (high blood pressure), Hyperlipidemia (high cholesterol), Asthma, and Cardiovascular Disease; and you are not Diabetic.
Preferred Network 34 Day Supply Non-Preferred Network 34 Day Supply
Co-payment Co-payment
Teir 1 - Generics $10 Teir 1 - Generics $25
Teir 2 - Preferred Brands (Formulary Brands) $30 or 20% (Greater Amount) Teir 2 - Preferred Brands (Formulary Brands) $50 or 20% (Greater Amount)
Teir 3 - Non-Preferred Brands (Non Formulary Brands) $75 or 30% (Greater Amount) Teir 3 - Non-Preferred Brands (Non Formulary Brands) $90 or 30% (Greater Amount)
Specialty Drugs $250 or 20% (Lesser Amount) Specialty Drugs Not Covered
Preferred Network 90 Day Supply Non-Preferred Network 90 Day Supply
Co-payment Co-payment
Teir 1 - Generics $30 Teir 1 - Generics Not Covered
Teir 2 - Preferred Brands (Formulary Brands) $90 or 20% (Greater Amount) Teir 2 - Preferred Brands (Formulary Brands) Not Covered
Teir 3 - Non-Preferred Brands (Non Formulary Brands) $225 or 30% (Greater Amount) Teir 3 - Non-Preferred Brands (Non Formulary Brands) Not Covered
Specialty Drugs $250 or 20% (Lesser Amount) Specialty Drugs Not Covered
All Generics exceeding $400 in drug cost will adjudicate at 20% coinsurance, not to exceed $250.
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