Your important plan documents below include coverage and costs for medical product and services and prescription drugs that will start on January 2021.
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Your important plan documents below include coverage and costs for medical product and services and prescription drugs that will start on January 2021.
(VIP Dual (HMO D-SNP), VIP Dual Select (HMO D-SNP), VIP Solutions (HMO D-SNP), and VIP Dual Reserve (HMO D-SNP), National Drug Plan (PDP), select EmblemHealth Group Access Rx (PPO) plans and VIP Premier (HMO) group plans with standard pharmacy benefit)
(VIP Value (HMO), VIP Part B Saver (HMO), VIP Essential (HMO), VIP Rx Saver (HMO), VIP Go (HMO-POS), VIP Gold (HMO), VIP Gold Plus (HMO), VIP Passport (HMO), VIP Passport NYC (HMO), VIP Rx (PDP), VIP Rx Plus (PDP), VIP Reserve (HMO) and select VIP Premier (HMO) Group Plans)
Prior Authorization means that you will need to get approval from your plan before you fill your prescriptions. If you do not get an approval, your plan may not cover the drug. Below is a list of drugs that require prior-authorization.
Thank you for your interest in EmblemHealth. To request a Formulary, EOC, or Provider/Pharmacy Directory, please call Customer Service at 877-344-7364 (TTY: 711). We are open seven days a week from 8 am to 8 pm. We will be happy to help you.
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Nondiscrimination Policy for Medicare | Disaster Events Policy for Medicare
Last Updated 01/01/2021
Y0026_200570 Accepted 9/29/20