Prescription Benefits for Chronic Conditions

For our members with chronic conditions such as diabetes, asthma, and COPD, the cost of prescriptions can put stress on a household budget. To help cut costs for our members with these chronic diseases, we have added a new benefit to our Individual and Small Employer Plans—both Traditional and HDHPs—starting in 2023. This new prescription benefit covers the cost of diabetes drugs, diabetes test strips, COPD drugs, and asthma drugs that are generic medications or at Tier 3 placement on the plan’s covered drug list, at a $0 copay/coinsurance.

What’s an Individual Plan?

What’s a Small Employer Plan?

What’s a covered drug list?

Some common drugs and test strips that will be covered under this benefit include:

This added coverage will help our members on Small Employer and Individual Plans who deal with chronic conditions be better able to afford their critical medications. Taking appropriate medications for chronic conditions is a key to ensuring a healthy lifestyle.