Primetime Health Plan Formulary
A deductible is the amount of expenses that must be paid out of pocket before the initial coverage period begins.
Primetime health plan formulary. Below is the formulary or drug list for primetime health plan plus hmo pos from aultcare health insuring corporation. However some drugs do not. Generic drugs usually cost less than brand name drugs and are rated by the food and drug administration fda to be as safe and effective as brand name drugs. Primetime health plan formulary on this page for information about how to request an exception.
2020 primetime health plan aultimate hmo pos formulary. Contact primetime health plan primetime health plan is committed to providing our members timely resolutions for all questions complaints or concerns. A formulary is a list of prescription medications that are covered under aultcare health insuring corporation s 2020 medicare advantage plan in ohio. This plan includes additional medicare prescription drug part d coverage.
You live in our service area carroll columbiana harrison holmes mahoning medina portage stark summit trumbull tuscarawas and wayne counties and you have both medicare part a and medicare part b when you enroll in a medicare advantage plan. A formulary is a list of prescription medications that are covered under aultcare health insuring corporation s 2020 medicare advantage plan in ohio. If you ever have questions or issues with primetime health plan your benefits or our providers please let us know so we can help. The primetime health plan plus hmo pos plan has a 100 drug deductible.
The formulary is subject to change during the year. The primetime health plan aultimate hmo pos has a monthly premium of and has an in network maximum out of pocket limit of 4 200 moop. You are eligible for membership in our plan as long as. Primetime health plan will generally cover the drugs listed in our formulary as long as.
Below is the formulary or drug list for primetime health plan aultimate hmo pos from aultcare health insuring corporation. This means that if you get sick or need a high cost procedure the co pays are capped once you pay 4 200 out of. Generic medications with the lowest co payments can be affordable alternatives that have met multiple quality and safety standards set by the fda you and your doctor can discuss which medication options are best for you copies of the primetime health plan formulary can be accessed online at this site or by calling the primetime service center numbers and hours are listed below in the footer. However some drugs do not require.
Primetime health plan covers both brand name drugs and generic drugs. What is the primetime health plan formulary. Below is the formulary or drug list for primetime health plan classic hmo pos from aultcare health insuring corporation this formulary is a list of prescription medications that are covered under aultcare health insuring corporation s medicare advantage plan in ohio. If your drug is not included in this formulary list of covered drugs you should first contact member services and ask if your drug is covered.
This document includes only a partial list of covered drugs so primetime health plan may cover your drug. Our representatives are available by phone to assist you monday through friday 8 00 am 8 00 pm at 330 363. The primetime health plan classic hmo pos plan has a 150 drug deductible. 2020 primetime health plan aultimate hmo pos eligibility requirements.
Primetime health plan aultimate hmo pos h3664 021 is a 2020 medicare advantage plan or medicare part c plan by primetime health plan available to residents in ohio. This deductible is the amount of expenses that must be paid out of pocket before the initial coverage period begins. What if my drug is not on the formulary.