Through the ESI pharmacy mail order program, participants can receive up to a 90-day supply of medication and prescriptions are mailed directly to the participant's home. Mail OrderĪ participant who needs to use a long-term, maintenance medication (usually a prescription for more than 30 days) can fill his or her prescription through the ESI pharmacy mail order program. To locate an in-network retail pharmacy, participants can log onto the Express Scriptswebsite or call ESI Customer Service at 87. Retail PharmaciesĪ participant who needs to take medication for a short period of time (up to 30 days) should have their prescription filled at an in-network retail pharmacy. Prescription drugs are covered when they are purchased from an in-network retail pharmacy or through the Express Scripts pharmacy mail order program. All of our medical plans will cover pre-existing conditions or covered services.If you are enrolled in one of the Healthy Focus medical plans, you have access to prescription drug coverage through Express Scripts (ESI). Please refer to the Medical Plans Comparison Chart for details.
Comparing Health PlansĮach medical care plan covers both pharmacy and behavioral health benefits.
AETNA TIMELY FILING FOR 2021 CODE
*Reimbursement account plans are governed by Internal Revenue Code guidelines that limit the reimbursement of either health care expenses or dependent care expenses to a spouse and legal dependents. Also, if your spouse is enrolled in a Health Savings Account (HSA), please contact the HR Information Center at (919) 684-5600 before enrolling in Duke Basic. PLEASE NOTE: Duke will not make additional contributions to the Health Care Reimbursement Account for Duke Basic participants if dependents are added during the year due to a qualifying event such as a birth or marriage. To help offset the higher out-of-pocket expenses of Duke Basic, Duke Basic members will receive an annual contribution to a Health Care Reimbursement Account based on the level of coverage selected: Duke Basic Reimbursement Account Contribution Need to Find a Provider?Īn online directory of participating medical providers by medical plan is available here. In these HMOs, you may, but are not required to, select a primary care physician (PCP) from a plan's list of network providers. Unlike traditional HMOs, with Duke Select, Duke Basic, and Blue Care, you do not need a referral from your PCP to see a network specialist. Out-of-network care is only covered for emergency or urgent care. Participants must use a statewide network of providers. Blue Care (Blue Cross NC) - available only to employees living in North Carolina.The provider network for Duke Basic is the same as Duke Select. Premiums are lower than Duke Select, but out-of-pocket costs are higher. Since this network is unique, we encourage you to carefully review the provider listing here. This plan uses a health care provider network unique to Duke.
AETNA TIMELY FILING FOR 2021 ZIP
Duke Basic - available only to employees living in ZIP codes beginning with 272, 273, 275, 276 and 277.Duke Select - available only to employees living in ZIP codes beginning with 272, 273, 275, 276 and 277.Blue Care Member Guide Duke Select, Duke Basic, Blue Care
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