Employee Health Care Plan – Coordination of Prescription Drug Benefits
The University Employee Health Care Plan only allows coordination of Prescription Drug Benefits between two University plan enrollees. To be eligible for coordination of prescription drug benefits, individuals must either have health coverage as an employee of the University and be covered as the spouse of another University employee, or be covered as a dependent child by two University employees. CVS Caremark has set up a separate COB group for eligible individuals in the Employee Health Care Plan. Those in the COB group are not required to pay a coinsurance amount when they purchase a covered prescription at a Participating Pharmacy, eliminating the need to file a paper claim for reimbursement under secondary coverage.
To be added to the COB group, complete the Certification of Dual University Coverage for Coordination of Prescription Benefits form, and return it to the University Benefits Department. (Only one form is required per family, but both employees must sign the form.) Only employees who cover the same children may be added to the COB group. If one employee covers a child that the other employee does not cover, you must pay your coinsurance at the pharmacy and file a paper Request for Reimbursement.
Employees and any covered dependent children are only eligible for coordination of prescription drug benefits as long as both employees continue coverage for each other (and any covered dependent children) through the University. If one of the coverages is cancelled, employees must notify the Benefits Department immediately.
QUICK LINKS:
- COBRA Coverage
- Coordination of Medical Benefits
- Dental Coverage
- Eligibility and Enrollment
- Eligible Dependents
- Employee Assistance Program and Behavioral Health Coverage
- Pre-Existing Conditions
- Prescription Drug Coverage
- Provider Network and Plan Design Options
- Summary Comparison of Medical and Dental Options
- Summary Plan Descriptions