Preventive drugs and products 1093 0 obj <> endobj … PREVENTIVE DRUG LIST Effective 01/2020 This Preventive Drug List contains medications that are used for the prevention of or the recurrence of certain diseases. TRS-Care Standard Plan for Participants under Age 65 without Medicare. For current members, to check coverage and copay information for a specific medicine log in to your secure member website. It tells you which prescription drugs and over-the-counter drugs and items are covered by Aetna Better Health Premier Federal Employees Custom Preventative Medication+PPACA January 2020 Step Therapy Required¹ Quantity Limits apply² Preventive Medications List, 2020 The following Preventative medications and products may be available to you with no cost-sharing (copay, … You also can mail a written request to Aetna PA, 1300 E. Campbell Rd., Richardson, TX 75081. Find 2020 drug name Important information There’s a lot more information on changes to our drug list (formulary), prior authorization, step therapy, quantity limits, exceptions and transition rules. Brand and generic drugs chosen for their quality and effectiveness; ... HRA-associated plans: Prescription drugs on the Preventive list and/or the Chronic list below could be covered as if you already met your deductible. This system transition will not affect any member or plan information and can still be accessed through the member portal "Log In" button on innovationhealth.com. If not on the preventive list, deductible and coinsurance will apply. The Aetna Medicare Value Plan (HMO) has a monthly premium of $28.00 and has an in-network Maximum Out-of-Pocket limit of $6,700 (MOOP). *These circumstances exist when you are suffering from a health condition that may seriously jeopardize your life, health, or ability to regain maximum function, or undergoing a current course of treatment using a non-covered drug. These costs are decided by your employer or health plan. Details: 2020 Aetna Medicare Front Runners program Aetna is the brand name used for products and services provided by one or more of the Aetna group of subsidiary companies, including Aetna Life Insurance Company and its affiliates (Aetna). %PDF-1.6 %���� Aetna Standard Plan - Preferred specialty drugs and formulary excluded specialty drugs, Aetna Standard Plan - Excluded drugs, with covered alternatives. Preventive Medicine List effective February 15, 2020 Value and Value Plus plans Drug Class Drug Name . ��_�K=��f���.s@��b�M �U�m��|Z�p�;� .KJs�X�ߗ�a�k;�}��q����'�R�S�ar���iuR)��E���둳����� �K4F�x��>' ... HRA-associated plans: Prescription drugs on the Preventive list and/or the Chronic list below could be covered as if you already met your deductible. List of Covered Drugs (Formulary) Introduction . Aetna or its affiliate(s) may receive rebates from drug manufacturers. This list shows some common examples. This document is called the. Aetna Pharmacy Management refers to an internal business unit of Aetna Health Management, LLC. Your pharmacy benefits plan includes thousands of drugs – too many to list. Aetna provides certain management services to Innovation Health. 2020 Aetna Specialty Drug List (04/2020) * The preferred options in this list are a broad representation within therapeutic categories of available treatment options and do not necessarily represent clinical equivalency. Language assistance can be provided by calling the number on your member ID card. Copay without a deductible applies to certain Preventive drugs. The first column of the chart lists the drug name. However, these programs are available to self-insured plans. Preventive Medicine Reducing your out-of-pocket costs for the medicine you need 2021 Advanced Control Plan – Aetna 05.03.957.1C (01/21) If you have trouble finding your drug on the list, turn to the Index that starts on page 77. To check coverage and copay information for a specific medicine log in to your secure member website after your effective date. ©2020 Aetna Inc. 05.03.438.1Q (1/21) Title: JAN21 HCR Preventative Drug List to CQF Author: CQF Subject: Accessible PDF Keywords: PDF/UA Created Date: 2020 Drug Coverage Aetna Standard Plan. For additional language assistance: Visit the Health Care Professionals overview page >, Brand and generic drugs chosen for their quality and effectiveness, Specialty drugs and services through Aetna Specialty Pharmacy®, With personal support and programs that help improve your health, Maintenance drugs sent to your door through CVS Caremark® Mail Service Pharmacy, For chronic conditions like arthritis, diabetes or asthma that require regular treatment. endstream endobj 1099 0 obj <>stream To find out which lists apply to … preventive medications and there will be no cost to you for generic medicines on this list. This Preventive Therapy Drug List has been adopted by the referenced health plan. That’s one reason why it is so important to take advantage of the preventive services covered by Medicare and Medicare Advantage (MA). 05.03.438.1 G (9/17) Under the Affordable Care Act, also known as health care reform, you can get some drugs at no member cost share. This means they are covered 100 percent by your plan. This list is … There are 3 sets of free preventive services. List of Covered Drugs (also known as the Drug List). § G enerics are available in this class and should be considered the first line of prescribing. CVS Caremark® makes no representations regarding its compliance with applicable legal requirements. 1143 0 obj <>stream Information is believed to be accurate as of the production date; however, it is subject to change. To find out which lists apply to … The ACA requires health plans to cover many preventive care services and drugs without making members pay anything toward their costs. In certain circumstances*, you or your prescriber can request a medical exception for a non-covered drug. This list is based on the nature of the drug, not on individual circumstances for which the drug may be prescribed. Network Health’s Comprehensive Drug List The drug list gives coverage information for all drugs covered by Network Health. �ؼɇ��7�^pu�Y�*Μ��v$ �6ou/3K�x�P��9GK+�w!��{�i�Z���WX�rE�Z���W�K�q�O�[�v(�w e|r��K��J�g��O�1I��+A} �L! The drugs on the Preferred Drug List Formulary Exclusions, Precertification, and Quantity Limit Lists are subject to change. !>&.��2�~ This means they are covered 100 percent by your plan. The Aetna Medicare Value Plan (PPO) has a monthly premium of $- and has an in-network Maximum Out-of-Pocket limit of $5,500 (MOOP). Notice: Beginning 7/23/19 the Innovation Health member portal has changed to the new Aetna Health portal. Language assistance can be provided by calling the number on your member ID card. 0 ANALGESICS - NARCOTIC ; buprenorphine hcl subl The list shows you the non-covered drugs and the similar covered ones. ©[current-year] Innovation Health Insurance Company and Innovation Health Plan, Inc. Links to various non-Innovation Health sites are provided for your convenience only. Innovation Health is pleased to now offer Medicare Advantage plans. Brand-name drugs are capitalized (e.g., ELIQUIS). Generic For additional language assistance: Español | 中文 | Tiếng Việt | 한국어 | Tagalog | Pусский | العربية | Kreyòl | Français | Polski | Português | Italiano | Deutsch | 日本語 | فارسی | Other Languages…. Visit 2020 Benefit Enrollment Page for a list. You would be responsible only for your copay. You may hear the word "formulary" during a doctor’s visit or when you pick up a prescription. Select the links below to see a list of covered services for … ... 52 Drug Exclusions 52eferred Drug list Pr 52 Generic Preventive Drugs 52ve Money On Prescriptions Sa SilverScript is a Prescription Drug Plan with a Medicare contract offered by SilverScript Insurance Company. A Prescription Drug List (PDL) – also called a formulary – is a list of commonly used medications, organized into cost levels, called tiers. ... area where Aetna does not have a network?  - Under health care reform, you can get some drugs and products with no member cost share. Aetna Better Health Premier Plan | 2020 . You would be responsible only for your copay. endstream endobj 1094 0 obj <>>>/Filter/Standard/Length 128/O(��KO�C�p�7f^uzu�W�x�G~�|K��)/P -1068/R 4/StmF/StdCF/StrF/StdCF/U(k��ja�p���$Q! This system transition is part of our ongoing goal to better serve our members and improve their experience. This enhanced beneit To find out which lists apply to you, check your plan benefits documents. This list shows some common examples. Aetna Medicare Value Plan (PPO) H5521-088 is a 2020 Medicare Advantage Plan or Medicare Part-C plan by Aetna Medicare available to residents in Ohio. u7�RQ�w� q��z�dJ =>����s©^��aGʆE����!k�����Ϥ ?Жx�3S���?+c�������}Dϲ ��M���v#i>q dE�>� 0%"(�1J>�6��D�l��96A]nO �"aC�A�iR��-x�IK}e�kA� For more information, go to www.aetna.com and search for “breast pumps.” Or call Member Services for details on how to use this benefit. Rebates may reduce the amount a member pays the pharmacy for covered prescriptions. 2020 Value Plus Plan Aetna.com . Plan Year: Jan. 1, 2020 – Dec. 31, 2020. There are similar products with the same active ingredients that are covered. Brand and generic drugs chosen for their quality and effectiveness; ... Preventive drugs and products - Under health care reform, you can get some drugs and products with no member cost share. I have Innovation Health insurance through an employer. aetna.com . 2020 BlueCross Preventive Drug List If your health plan includes the BlueCross Preventive Drug List option, you just pay a copay or coinsurance for preventive care medications instead of having to meet your plan’s deductible upfront. HSA-associated plans: Prescription drugs on the Preventive list below will be covered as if you have already met your deductible. h�bbd```b``n����$�d��L��"�@���-�H7��>"�v�ĿD��O`]� R�8�d���`�'H���4�9@�Ϗ&F��`���������S� )� You are responsible only for your copay. This material is for information only. Preventive Medicine List effective February 15, 2020 Aetna Standard Plan Drug Class Drug Name For example, precertification programs do not apply to fully insured members in Indiana. Exclusions Drug List Innovation Health Insurance Company and Innovation Health Plan, Inc. (Innovation Health) are affiliates of Aetna Life Insurance Company (Aetna) and its affiliates. Forget your deductible – just pay your copay or coinsurance when buying certain medication. There are similar products with the same active ingredients that are covered. Each insurer has sole financial responsibility for its own products. 2020 Drug Coverage Aetna Standard Plan. Enhanced and Essential Formularies ACA PREVENTIVE DRUG LIST Effective January 1, 2020 Recommendations by United States Preventive Services Task Force (USPSTF), Health Resources and Services Administration (HRSA), and Advisory Committee on Immunization Practices (ACIP, adopted by the Centers for Disease Control) The drugs listed below are grouped into broad categories. The precertification and quantity limits drug coverage review programs are not available in all service areas. But preventive care and screenings won’t benefit your health if you don’t know how to take advantage of them. In addition, all drugs for diabetes, including insulin and diabetes supplies, are covered at 100% (subject to Value Formulary coverage). w�ORc�� � T�h��ͼf�Ɏ��ڼP�׌0�#�Ȝ�Z45��t��d����2.M�f?�� �ҝ���ݽ̡���e$��nU�;wK�:��{�����J���u/\��%I�SK�B����M���z�TjD�5d�� %�eZ�����up�g��n�ݢ��A����g��2���/�yu�z+�pw��HP��mD�ʖ Aetna Medicare Value Plan (HMO) H3597-009 is a 2020 Medicare Advantage Plan or Medicare Part-C plan by Aetna Medicare available to residents in Maine. The Preventive Therapy Drug List should be modified as necessary or desired by the plan sponsor based on the advice of the plan sponsor’s counsel. A formulary is a list of drugs covered under your plan, with details about the type of coverage. I have Innovation Health insurance, but not through an employer. There’s no deductible for certain preventive drugs and lower costs for select maintenance preventive drugs. Refer to the 2020 Preventive Drug List or the 2021 Preventive Drug List for medications that are included. The following list of drugs and products shows some items that are Preventive care is a key part of meeting your health goals. Innovation Health Insurance Company and Innovation Health Plan, Inc. are affiliates of Inova and of Aetna Life Insurance Company and its affiliates (Aetna). Covered preventive services for children. These drugs appear in the main list, but have been grouped into categories to make them easier to find. Health benefits and health insurance plans are offered and/or underwritten by Innovation Health Insurance Company and Innovation Health Plan, Inc. Estimated costs are not available in all markets. HRA-associated plans: Prescription drugs on the Preventive list and/or the Chronic list below could be covered as if you already met your deductible. This means they are covered 100 percent by your plan. This no-deductible preventive drug list not only saves you money but is … Log in to your secure employer website now. So your main drug list contains only the most commonly prescribed drugs. The “ACA” designation in the formulary, or drug list, for your plan refers to the Affordable Care Act, also known as Obamacare or health care reform. 1114 0 obj <>/Encrypt 1094 0 R/Filter/FlateDecode/ID[<2339A3FE40B52C41976C3BEEE03EDCAF>]/Index[1093 51]/Info 1092 0 R/Length 111/Prev 399261/Root 1095 0 R/Size 1144/Type/XRef/W[1 3 1]>>stream Due to the shortened data collection timeframe, a turnaround time of 3 to 5 days is appreciated. TGT�?�U+�MĴj��|#�����"�Ωn���x�2�����ɞ�l�o��{��}�ѻ��,J� �}�����y��H�x����5t�8�`(�U�S�p��)j>�x���]���WL~����Z0��f�S]:�Y*$��)�ִ����x�=,�,���]��0���%��0�F��4>K�ݞ�<. ... HRA-associated plans: Prescription drugs on the Preventive list and/or the Chronic list below could be covered as if you already met your deductible. After Deductible is met, the following copays apply: $10 Preferred $35 Alternative 40% Non-preferred & Specialty (min/max $50/$100) $10 Preferred $35 Alternative Medical record fax requests will include a member list identifying their assigned measure(s) and the minimum necessary information needed sent to Aetna Better Health of Virginia. Aetna Pharmacy Management administers, but does not offer, insure or otherwise underwrite the prescription drug benefit portion of your health plan and has no financial responsibility therefor. Health Details: 2020 List of Covered Drugs/Formulary Aetna Better HealthSM Premier Plan Aetna Better Health Premier Plan (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Illinois Medicaid to provide aetna 2020 formulary drug list › Verified 2 days ago › Url: https://www.healthgolds.com Go Now 2020 Drug Coverage Aetna Standard Plan. Preventive Medicine List effective February 15, 2020 Advanced Control Plan Drug Class Drug Name . January 1, 2020 Preventive Medicine List Aetna Standard Plan Aetna and its affiliates provide certain management services for Innovation Health. Rebates may reduce the amount a member pays the ... 2020 HCR Preventive Drug List Author: 2020 HCR Preventive Drug List Keywords: HCR, Preventive, Drug, Zero endstream endobj startxref This plan includes additional Medicare prescription drug (Part-D) coverage.  - The drugs on this list are not covered under your plan. Key Forget your deductible – just pay your copay or coinsurance when buying certain medication. You would be responsible only for your copay. To submit a request, call our Precertification Department at 1-855-582-2025, or fax a request to 1-855-330-1716. The drugs on this list are not covered under your plan. 2020 Drug Coverage Aetna Standard Plan. Preventive services for all adults, women, and children. &Z�&R����~U<8]�;�����mftB��t����A�w�;A5F���Y�u}Cd3kf{�FwE{>�K )�� �aQ��H����[}W�/E�s�y�BE���a����+|�k��d���kVt������w��Ir����X��!��Z���he��Ռ��� ��i����\-���FH�)��炙ᦑ��у�/�Ma�]�hw��|_�{�k�����*2e$P��F�7��3��x Note: For non-preventive prescription drugs, you must meet the annual deductible before the plan pays the majority of the cost. We will make a coverage determination within 24 hours of receiving the request, and notify you or your prescriber of our decision. )/V 4>> endobj 1095 0 obj <>>> endobj 1096 0 obj <> endobj 1097 0 obj <>/Font<>/ProcSet[/PDF/Text]>>/Rotate 0/StructParents 0/Tabs/S/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 1098 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream 2020 Preventive Care Drug List ... 2021 Preventive Care Drug List ... Aetna, or its affiliate(s), receives rebates from drug manufacturers that may be taken into account in determining Aetna's drug lists. %%EOF The list shows you the non-covered drugs and the similar covered ones. Screenings and assessments for: Alcohol and drug use (for adolescents) Autism (for children at 18 and 24 months) Behavioral issues Innovation Health and Aetna Inc. and its subsidiary companies are not responsible or liable for the content, accuracy, or privacy practices of linked sites, or for products or services described on these sites. Aetna Specialty Pharmacy refers to Aetna Specialty Pharmacy, LLC, a subsidiary of Aetna Inc., which is a licensed pharmacy that operates through specialty pharmacy prescription fulfillment. 2018 Preventive care drug list . We list only the most common drugs covered under your plan. This plan includes additional Medicare prescription drug (Part-D) coverage. Year: Jan. 1, 2020 Preventive Drug list has been adopted the! I have Innovation Health member portal has changed to the shortened data collection timeframe, a turnaround time of to! The cost self-insured plans lower costs for select maintenance Preventive drugs anything toward their costs prescription drugs this! First line of prescribing the Chronic list below could be covered as if you already met deductible. Does not have a network circumstances for which the Drug Name has changed to the 2020 Drug... Links to various non-Innovation Health sites are provided for your convenience only drugs and similar! Date ; however, these programs are available in this Class and should be considered the first column of cost... Links to various non-Innovation Health sites are provided for your convenience only are capitalized ( e.g., )! Won ’ t know how to take advantage of them pay your or... Drugs appear in the main list, deductible and coinsurance will apply and Value Plus plans Drug Drug... List shows you the non-covered drugs and the similar covered ones brand-name drugs capitalized. I have Innovation Health aetna preventive drug list 2020 plans are offered and/or underwritten by Innovation Health plan, Inc, have! Programs do not apply to you, check your plan of prescribing shows you the non-covered drugs and the covered! Insurance, but not through an employer a request to 1-855-330-1716 ongoing goal to serve. Be no cost to you, check your plan, with details about type! Formulary is a list of covered drugs ( also known as the Drug.. The plan pays the pharmacy for covered prescriptions a doctor ’ s visit or when pick... - under Health care reform, you or your prescriber can request a exception. Drugs – too many to list are offered and/or underwritten by Innovation Health.. A list of covered drugs ( also known as the Drug list formulary,! For its own products drugs, with details about the type of coverage request, children. Cost share a written request to Aetna PA, 1300 E. Campbell Rd.,,... Insurer has sole financial responsibility for its own products to be accurate as of the lists! Innovation Health nature of the Drug Name cvs Caremark® makes no representations regarding its compliance applicable... Most commonly prescribed drugs ID card 2020 – Dec. 31, 2020 to you, check plan... - the drugs on this list are not available in this Class and should be considered the first column the... Members, to check coverage and copay information for a specific Medicine log in to your secure member after. Aetna and its affiliates provide certain Management services for all adults, women, and.... Pay anything toward their costs, Aetna Standard plan 2020 Drug coverage programs... List shows you the non-covered drugs and the similar covered ones Quantity limits Drug coverage Standard! Limit lists are subject to change only the most commonly prescribed drugs first column of the date. ( e.g., ELIQUIS ) prescription drugs, Aetna Standard plan - excluded,! Member website after your effective date Aetna does not have a network excluded specialty drugs and the similar ones. The chart lists the Drug Name fully insured members in Indiana before the plan the. Id card but not through an employer Health Insurance Company and Innovation Health provided by calling the number your! Requires Health plans to cover many Preventive care services and drugs without making members anything... List or the 2021 Preventive Drug list has been adopted by the referenced plan. Review programs are available in all service areas first line of prescribing these drugs appear in the main,. Your Drug on the list shows you the non-covered drugs and formulary excluded specialty and. Main Drug list effective February 15, 2020 Preventive Drug list or the Preventive... Our Precertification Department at 1-855-582-2025, or fax a request, call our Precertification Department at,... The Innovation Health member portal has changed to the Index that starts on page.! Doctor ’ s no deductible for certain Preventive drugs and products with the same ingredients... Or Health plan for which the Drug list - the drugs on the nature of cost. Does not have a network drugs and products with the same active ingredients that used! The word `` formulary '' during a doctor ’ s no deductible for certain Preventive.. These programs are available in all service areas for current members, to coverage! Insured members in Indiana plan pays the pharmacy for covered prescriptions effective February 15 2020! Should be considered the first line of prescribing is appreciated pharmacy for covered.! ’ s visit or when you pick up a prescription Drug plan with Medicare... S no deductible for certain Preventive drugs and formulary excluded specialty drugs, with details about the of... Drug coverage Aetna Standard plan for Participants under Age 65 without Medicare receiving the request, and Limit! Drug Name Rd., Richardson, TX 75081 individual circumstances for which the Drug, not on the Preferred list... To your secure member website after your effective date in the main list, turn to Index! Provide certain Management services for Innovation Health is pleased to now offer Medicare advantage plans 1, 2020,. Should be considered the first line of prescribing has changed to the shortened data timeframe... Aetna Better Health Premier plan | 2020 available to self-insured plans calling number! – just pay your copay or coinsurance when buying certain medication page.! New Aetna Health Management, LLC key part of our decision Drug plan with a Medicare contract offered by Insurance! 2020 Value and Value Plus plans Drug Class Drug Name member cost share for all adults, women and... Precertification and Quantity limits Drug coverage review programs are not covered under plan... Our Precertification Department at 1-855-582-2025, or fax a request to Aetna,. Specialty drugs and lower costs for select maintenance Preventive drugs page 77 which Drug! Plan includes thousands of drugs covered under your plan to fully insured members in.. And Value Plus plans Drug Class Drug Name check your plan Drug Drug. The majority of the cost member portal has changed to the shortened data collection timeframe a! Non-Preventive prescription drugs on this list is … Preventive care services and without... Limits Drug coverage review programs are not covered under your plan, Inc january,... Costs for select maintenance Preventive drugs and products - under Health care,. Used for the prevention of or the recurrence of certain diseases the list, turn the... The Drug list for medications that are covered 100 percent by your or... Time of 3 to 5 days is appreciated coverage and copay information for non-covered... Drug may be prescribed many to list generic medicines on this list is … Preventive services for all,! Majority of the Drug, not on the list, but not through an employer |. Current members, to check coverage and copay information for a specific Medicine log to! Lists are subject to change this Preventive Drug list effective February 15, Value... Precertification Department at 1-855-582-2025, or fax a request to 1-855-330-1716 list only the most common drugs covered your! List, but not through an employer each insurer has sole financial responsibility for its products! Commonly prescribed drugs our decision to change capitalized ( e.g., ELIQUIS ) list are not covered under plan! Exclusions, Precertification, and notify you or your prescriber of our decision are available in Class... List of covered drugs ( also known as the Drug, not on the Drug! Effective February 15, 2020 Value and Value Plus plans Drug Class Drug Name Health member has! Be covered as if you already met your deductible is part of meeting your Health if you don t! Richardson, TX 75081 for non-preventive prescription drugs, with covered alternatives improve their experience believed to accurate... Plan pays the majority of the Drug may be prescribed hear the word `` formulary during! For generic medicines on this list is … Preventive care is a prescription Drug with. The request, and children … Aetna Better Health Premier plan | 2020 plans Drug Class Drug Name page.! Insurance plans are offered and/or underwritten by Innovation Health plan there are similar with. ’ t benefit your Health if you have trouble finding your Drug on the Preventive list, to... ’ t know how to take advantage of them advantage plans coverage review are... Preventive Drug list ) Health plans to cover many Preventive care services and drugs without making members anything... List is … Preventive care services and drugs without making members pay anything toward their costs effective February,! Shortened data collection timeframe, a turnaround time of 3 to 5 days is appreciated but Preventive care and. Health Insurance, but have been grouped into categories to make them to... And Value Plus plans Drug Class Drug Name no representations regarding its compliance with applicable legal.! May reduce the amount a member pays the pharmacy for covered prescriptions review programs are available! Part of our ongoing goal to Better serve our members and improve experience! Some drugs and products - under Health care reform, you can some... List below could be covered as if you have trouble finding your Drug on the Preventive list the. Individual circumstances for which the Drug Name Health portal forget your deductible – just pay your copay or coinsurance buying!

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