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Prescription Drug Plan Highlights |
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Save Money and Stay Healthy with Your New Medicare Part D Plan.
With the Medco Medicare Prescription Plan®, you get the prescription drug coverage you need from the nation's leading prescription benefit manager. Medco has over 25 years of experience serving the prescription benefit needs of seniors and currently provides its services to more than 8 million people who are Medicare eligible.
Click HERE to see detailed information regarding the Medco Medicare Prescription Plan®
Program Summary
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In some cases, the plan requires you to first try one drug to treat your medical condition before they will cover another drug for that condition.
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Certain prescription drugs will have maximum quantity limits.
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Your provider must get prior authorization from Medco Medicare Prescription Plan® for certain prescription drugs.
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Covered Part D drugs are available at out-of-network pharmacies in special circumstances including illness while traveling outside of the plan's service area where there is no network pharmacy. You may also incur an additional cost for drugs received at an out-of-network pharmacy. Please contact the plan for details.
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The Prescription Drug Plan must be purchased with a corresponding Medical Plan. Please see your Medical Plan details for the rates where you live.
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Catastrophic Coverage: After your yearly out-of-pocket drug costs reach $4,550 you pay the greater of:
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Click HERE to view a copy of the Medco 2010 formulary guide.
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Click HERE to view information regarding the Medco generics program.
MEDCO By Mail, Medco's mail-order pharmacy, gives you the convenience and savings of having your long term medications delivered right to your door. Your prescriptions will go through multiple live and automated checkpoints to ensure accuracy and to help protect you from harmful drug interactions each time they are filled.
Mail order is most appropriate for drugs that you take on a regular basis for chronic or long-term medical conditions. When you use Medco by Mail, Medco's mail-order pharmacy, it can help lower our prescription costs in order to delay reaching the Coverage Gap (also known as the "doughnut hole"). You can get a 90-day supply of our long-term generic medications and pay only your plan's mail-order copayment.
**Note: The rates for the prescription drug plan are included in the rates reflected under the medical plan page as the medical and prescription drug plan are a combined offering and cannot be separated.
You can also call 1-866-544-3740 for more information.
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Prescription Drug Plan FAQs |
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Where is Medco Medicare Prescription Plan®
available? |
| The service area
for this Plan includes all 50 states, the
District of Columbia, and Puerto Rico. |
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Does my plan cover Medicare Part B or Part D
drugs? |
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Drugs that are covered under Medicare Part B
as prescribed and dispensed are not covered.
Generally, we only cover drugs, vaccines,
biological products and medical supplies
that are covered under the Medicare
Prescription Drug Benefit (Part D) and that
are on the Medco Medicare Prescription Plan® |
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Where can I get my prescriptions? |
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More than 50,000 pharmacies belong to the
Medco Medicare Prescription Plan® network of
pharmacies. You must use a network pharmacy
to receive plan benefits. The Medco Medicare
Prescription Plan® may not pay for your
prescriptions if you use an out-of-network
pharmacy, except in certain cases. Please
note that the pharmacies in our network can
change at any time. You can
find a network pharmacy online or call
Customer Service for an up-to-date list.
MEDCO By Mail, Medco's
mail-order pharmacy, gives you the
convenience and savings of having your long
term medications delivered right to your
door.
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What are the benefits of using mail order? |
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Medco By Mail, Medco’s mail-order
pharmacy, gives you the convenience and
savings of having your long-term medications
delivered right to your door. Your
prescriptions will go through multiple live
and automated checkpoints to ensure accuracy
and to help protect you from harmful drug
interactions each time they are filled.
You’ll also have access to Medco’s
specialist pharmacist who offer you
personalized care and enhanced safety
because they have received additional
training in the medications that treat a
single condition, such as diabetes, heart
disease, or cancer, to help ensure your
medications are working best for you.
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How do I access Medco By Mail? |
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You can use the mail-order service to
fill prescriptions for most drugs on the
formulary list. Mail order is most
appropriate for drugs that you take on a
regular basis for a chronic or long-term
medical condition. Drugs that cannot be
purchased through mail order include
medications with limited distribution and
compound medications. It’s also more
appropriate to use a retail network pharmacy
for drugs use for a short period of time (1
month or less) and drugs needed immediately
for the treatment of a severe medical
condition.
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How do I save money using mail order? |
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When you use Medco by Mail, Medco’s
mail-order pharmacy, it can help lower your
prescription costs in order to delay
reaching the Coverage Gap (also known as the
“doughnut hole”). You can get a 90- day
supply of your long-term generic medications
and pay only your plan’s mail-order
co-payment. Your long-term medications will
be delivered right to you, with free
standard shipping.
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What should I do if I have other insurance? |
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DALRC Retiree Benefit Trust is only
sponsoring this plan. If you elect to enroll
in, or retain, any other Prescription Drug
covereage, the subsidy you receive and your
DALRC Retiree Benefits may be impacted. |
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I've been hearing a lot about the "donut
hole." What is this? |
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"donut hole" or coverage gap is the segment
where you are responsible for paying the
full cost of your medicines. |
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Do any of the plans offered by the DALRC
have a "donut hole"? |
| Yes.
The Opal Enriched Low Option Plan although
lower in monthly premium does have a "donut
hole" or coverage gap. This means that once
you reach the third segment of the plan you
have to pay 100% of your prescription costs
until your out-of-pocket costs reach $4,550
(for 2009). |
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If I choose the plan with a "donut hole" how
will I know when I've reached the "donut
hole"? |
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Medco Medicare Prescription Plan®
sends you monthly statements that will track
your total drug spend, so you always know
where you stand. If you have any questions,
contact the DALRC Retiree Service Center. |
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What can I do to get additional assistance
to help me pay for my premium? |
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You may be able to get extra help to pay
for the monthly premiums, annual
deductibles, and co-payments related to your
Medicare prescription drug costs. Medicare
provides this program for people who have
limited income and resources. If you
qualify, this assistance will count toward
your out-of-pocket costs.
To find out if you are eligible for extra
help with Medicare prescription drug plan
costs, please
click here.
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These form(s) are in Acobe Acrobat Reader (PDF) format and are available for downloading and printing. Click the button below to download a fee copy of Adobe Acrobat Reader.
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Documents |
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 SecurePay Authorization Form |
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Medco Mail Order Form |
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Prescription Drug Resource Center |
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Prescripion drugs are a key portion of many individuals healthcare. It's up to you to make informed choices among all of the available options - including local pharmacies and lower price generics. Also, it's important that you have access to information to help you understand the possible side effects or complications so you know when you should contact your healthcare provider.
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Prescription Drug Library |
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Are you or a family member taking prescription drugs? Learn about precautions,side effects, drug interactions and alternatives.
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Using Medicine |
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How, when, and with what other substances you use your medicine can have a significant impact on your response to many drugs. Compare your routines with the recommended medication administration methods described here. |
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Saving Money on your Prescription Drugs |
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Tired of paying high prices for brand name drugs? Find out if you could save with generics or similar, less expensive medicines. |
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Prescription Drug Plan Contacts |
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| Sponsored by Medco Medicare Prescription Plan® |
| Title: |
DALRC Retiree Prescription Drug Plan |
| Phone: |
(866) 544-3740 |
| Hours: |
24 Hours a Day, 7 Days a Week
(except Thanksgiving and Christmas)
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| Web site: |
www.medco.com/medd/dalrc |
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