SuperMed One Prescription Drug Coverage

Prescription drug coverage is an increasingly important part of a complete and dependable health plan. That is why all SuperMed One plans contain prescription drug coverage. Your SuperMed One ID card is your drug card. After a $250 per single person or $500 per family deductible, SuperMed One pays 80 percent of the first $2,500 in prescription drug costs. (This calculates to a maximum benefit limit of $2,000 per year.) Or you can upgrade your prescription drug coverage. With SuperMed One’s optional prescription drug rider, your out-of- pocket costs will be limited to a $15/$30/$45 copay for each generic, formulary and non-formulary prescription filled. Pay the single copay for retail* or home delivery, pay two times the copay for a 90 day supply. The annual deductible and co-insurance are waived.

View a list of the preferred prescriptions on the formulary drug list.

Medco Health Solutions, Inc.

SuperMed One uses Medco Health as the pharmacy benefits manager to keep your prescription coverage affordable. This partnership benefits you through Medco Health’s aggressive discounts on all your prescription drug purchases. Medco Health is the nation's largest pharmacy benefits manager, and their strength further assures high quality, cost-effective prescription drug benefits for you.

Filling Your Prescriptions

With either the basic prescription plan or with the optional copay plan, it is easy to get your prescription filled either at a retail store or through home delivery. At a retail store, simply present your SuperMed One ID card to the pharmacist at a participating Medco Health Prescriptions network pharmacy, which include stores such as CVS, Rite Aid, Walgreens, and Medic Drug. For a complete pharmacy listing, click on Medco Health Solutions in the Member Services section of www.medmutual.com. For maintenance drugs, prescriptions you take regularly, Medco Health offers delivery by mail to your home. Simply mail your prescription and payment to Medco Health. Your medication will be dispensed and mailed to you within 72 hours. You can refill your home delivery prescriptions by phone by calling 1-800-417-1961, by mail using the mail service order envelope or online by clicking on Medco Health Solutions in the Member Services section of www.medmutual.com.

RationalMed - Medical Mutual's Integrated Care Strategy.

As a SuperMed One member, you are automatically enrolled in RationalMed, a unique program designed to improve patient safety by preventing prescription drug related illnesses. RationalMed uses both your Medical Mutual claims data and your prescription drug experience to create a comprehensive view of your health care. This state-of-the-art technology can detect potentially harmful consequences from prescription drugs. We will automatically notify your physician if a potential safety concern is detected. A few examples of the alerts generated through RationalMed are:

• Two drugs taken together that could be harmful (drug interactions);
• An incompatible prescription with a particular medical history;
• One or more physicians prescribe the a conflicting drug regimen;
• A prescription duration or dosage concern

Prescription Drug

* After the initial fill and two refills are processed within a 180 day period, if your prescription drug is available through the mail order program and you use a retail pharmacy to fill the order, you will be required to pay two times the retail copay.