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What Is the Medication Therapy Management Program?

The Medication Therapy Management (MTM) program is a free service offered to members who meet the requirements described below. Our program helps you manage your medication(s) and avoid medication-related problems like side effects or unintended interactions.

As part of the program, you and a pharmacist or other health professional will go through a comprehensive review to:

Review all your medications
Learn how best to take your medications
Discuss opportunities to help you reduce your prescription drug costs for the year
Talk about any problems you are having
Develop an action plan to help take your prescriptions safely
Receive a personalized medication list of all your medications and why you take them

picture_as_pdf MTM Program

picture_as_pdf Programa MTM

Who Qualifies for the MTM Program?

You will be automatically enrolled in this program if you meet these three requirements:

Have at least 3 of the following chronic health conditions:
- Alzheimer’s Disease
- Asthma
- Bone Disease (Osteoporosis, Osteoarthritis, Rheumatoid Arthritis)
- COPD
- Diabetes
- End-stage Renal Disease (ERSD)
- Heart failure
- High blood pressure
- High cholesterol
- HIV/AIDS
- Mental Health (Depression, Bipolar Disorder, Schizophrenia)

Take at least 8 medications
Use medication that cost more than $1,623 for the year combined (your costs plus Select Health Medicare plan's cost)

How Will I Know If I Qualify?

We will automatically enroll you if you are eligible for the program. You will receive a welcome letter with a general information form. We will also call you to welcome you to the program and set up a one-on-one medication review with one of our pharmacists.

Will the MTM Program Affect My Plan Coverage?

No, your participation is voluntary and does not affect your coverage in any way. This program is free of charge and is open only to those who are eligible to participate.

The MTM program is not considered part of your plan benefits that you pay for.

If you would like additional information about this program or you do not wish to take part in the MTM program, please call Member Services at 855-442-9900 (TTY users: 711).

Medicare Disclaimers

Select Health is an HMO, PPO, SNP plan sponsor with a Medicare contract. Enrollment in Select Health Medicare depends on contract renewal.

Every year, Medicare evaluates plans based on a 5-Star Rating System. Select Health Medicare HMO plans received 4 out of 5 Stars and Select Health Medicare PPO plans received 3.5 out of 5 Stars for the contract year 2025. Visit medicare.gov for more information.

The benefits mentioned are part of a special supplemental program for chronically ill enrollees. Eligible chronic conditions include diabetes, hypertension, musculoskeletal disorders, lung disorders, and cancer, as well as other conditions not listed. Eligibility for the benefits is not based solely on your condition and all eligibility requirements must be met before the benefits are provided. For details, please contact the Plan.

Select Health Medicare + Kroger pharmacy network includes limited lower-cost, preferred pharmacies in Bonneville county in Idaho. The lower costs advertised in our plan materials for these pharmacies may not be available at the pharmacy you use. For up-to-date information about our network pharmacies, including whether there are any lower-cost preferred pharmacies in your area, please call 855-442-9900 (TTY:711) or consult the online pharmacy directory at www.selecthealth.org/medicare/pharmacy.

Out-of-network/non-contracted providers are under no obligation to treat Plan members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.
For accommodations of persons with special needs at meetings, call member services at 855-442-9900 (TTY:711).

If you have a compliance concern, or suspect fraud, waste or abuse is occurring, contact Compliance at 800-442-4845 (TTY 711), available 24/7 or email ContactCompliance@imail.org. For anonymous reporting, please call 844-442-5844 (TTY 771), where a third-party vendor will collect and report your concern.

Select Health, Select Health Medicare, Intermountain Health, and the Select Health and the Intermountain Health logos are registered trademarks of Select Health, Inc. or Intermountain Health, Inc., and may not be used except with written permission of the respective owner.

What Is the Medication Therapy Management Program?

Who Qualifies for the MTM Program?

How Will I Know If I Qualify?

Will the MTM Program Affect My Plan Coverage?

Important Links

Helpful Links

Notices

Contact Us

Medicare Disclaimers

What Is the Medication Therapy Management Program?

Who Qualifies for the MTM Program?

How Will I Know If I Qualify?

Will the MTM Program Affect My Plan Coverage?

Important Links

Helpful Links

Notices

Contact Us

Medicare Disclaimers

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