Prescription Coverage

OptumRx

  • Co-Pays
    • Generic – $6.75
    • Brand – $9.50
  • Retail provides a 30 day supply for one (1) co-pay
  • Mail Order provides a 90 day supply for one (1) co-pay

How to use the benefit

  • As soon as you are eligible (upon completion of 5 months of service), and have submitted a completed enrollment card, you will be mailed a prescription card. Thereafter, as long as you are a member, you will be mailed a new card twice a year, with effective dates of May 1 and November 1.
  • Participating pharmacies – Pharmacies that have agreed to provide members of our prescription plan medications at a discounted price are considered in-network providers. At a participating pharmacy, you present your ID card, pay the copayment and receive your prescription.
  • Non-participating pharmacy – If you fill a prescription at a pharmacy that does not participate in the plan’s network, it may cost you more than the co-pay. At a non-participating pharmacy, you pay for prescriptions when you receive them and get reimbursement for allowable expenses.
  • How will I know if a pharmacy participates in my plan? You can ask the pharmacist, or call the Health and Welfare Fund office for assistance.
  • Mail order – You can get a 90-day supply of most maintenance medications – ones you take regularly – delivered to your home, for one (1) co-pay. Use the mail order form in your packet, or register online at optumrx.com.