Your important plan documents below include coverage and costs for medical product and services and prescription drugs that will start on January 2023.
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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 2023.
Richmond (Staten Island) and Nassau
Last Updated: 10/01/2022Orange, Rockland, Sullivan, Westchester and Ulster
Last Updated: 10/01/2022Bronx, Kings (Brooklyn), Queens and New York
Last Updated: 10/01/2022Richmond (Staten Island) and Nassau
Last Updated: 10/01/2022Dutchess, Orange, Putnam, Rockland, Sullivan, Ulster and Westchester
Last Updated: 10/01/2022Bronx, Kings (Brooklyn), Queens and New York
Last Updated: 10/01/2022Albany, Broome, Columbia, Delaware, Dutchess, Greene, Nassau, Orange, Putnam, Rensselaer, Richmond (Staten Island), Rockland, Saratoga, Schenectady, Sullivan, Ulster, Warren, Washington and Westchester
Last Updated: 10/01/2022(National Drug Plan (PDP), VIP Dual (HMO D-SNP), and VIP Dual Reserve (HMO D-SNP), select EmblemHealth Group Access Rx (PPO) plans and VIP Premier (HMO) group plans with standard pharmacy benefit)
(VIP Essential (HMO), VIP Rx Saver (HMO), VIP Gold (HMO), VIP Gold Plus (HMO), VIP Reserve Classic (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.
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Nondiscrimination Policy for Medicare | Disaster Events Policy for Medicare
Last Updated 01/01/2023
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Any information provided on this Website is for informational purposes only. It is not medical advice and should not be substituted for regular consultation with your health care provider. If you have any concerns about your health, please contact your health care provider's office.
Also, this information is not intended to imply that services or treatments described in the information are covered benefits under your plan. Please refer to your Membership Agreement, Certificate of Coverage, Benefit Summary, or other plan documents for specific information about your benefits coverage.