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Medical Claims Administration and Prescription Benefit Management (BPM)


Location
Utah
Publication Date
06/22/2020 11:09 AM EDT
Closing Date
07/09/2020 05:00 PM EDT
Issuing Organization
County of Summit
Solicitation Number
Description

Specifications include, but are not limited to: Customer Service Magellan Rx’s Customer Service team is available to assist 24 hours a day, 7 days a week.  Toll Free 800-424-0472 Summary Plan Description Throughout this section, You will see references to the Summary Plan Description (SPD). The SPD is a summary of Your medical, pharmacy and other benefits and was provided to You in Your Summary Plan Description (SPD) handbook of the Plan. Coverage Tiers Prescriptions covered by the Plan are categorized in three separate tiers as listed below. Type of Medication Tier  Generic Tier 1  Formulary Brand Tier 2  Non-Preferred Brand Tier 3 Your Plan has a separate benefit for specialty mediations. Specialty medications treat chronic complex conditions such as Rheumatoid Arthritis, Cancer, Multiple Sclerosis, Hepatitis C, Crohn's Disease, Bleeding Disorders, Asthma, Psoriasis, and more. Specialty prescriptions covered by the Plan are categorized in four separate specialty tiers as listed below. Type of Medication Tier  Specialty Preferred Tier 5  Specialty Formulary Tier 6  Specialty Medical Tier 7 Your financial responsibility for each tier is based upon the benefits offered by Your Plan. For more information regarding Your coverage and estimated drug costs, visit the Magellan Rx website at www.magellanhealth.com or call Customer Service at 800-424-0472. Copayments and Coinsurance You are responsible for paying the following Copayment and/or Coinsurance amounts (at the time of purchase if the pharmacy submits the claim electronically).

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