Employee Health Care Plan – Prescription Drug Coverage
Prescription drug coverage is provided through RegenceRx and is the same in the Advantage and Comprehensive Plan Design options. For more information, please see the Summary Comparison of Medical and Dental Benefits for University Faculty and Staff.
- At University Health Care Pharmacies you pay 20% (minimum $3) for covered generic and brand name prescription drugs.
- The University of Utah Health Specialty Pharmacy is the preferred specialty pharmacy for health plan members.
- At other RegenceRx Participating Pharmacies you pay 25% (minimum $3) for covered generic and preferred brand name prescription drugs and 35% (minimum $3) for covered non-preferred brand name prescription drugs.
- If you purchased your prescription without your Health Plan Identification Card and paid the full cost of your prescription, you will need to file a paper Request for Reimbursement form and submit receipts to RegenceRx.
- See additional details about Mail Order through RegenceRx’s contracted mail order pharmacy.
- The Out-of-Pocket maximum you pay per 30-day supply is $150 per script. After you pay $3,000 for an individual ($6,000 for a family) during the plan year, the plan will pay 100% of eligible charges for the remainder of that plan year.
- If a generic drug is available, but you choose to purchase the brand name drug, the plan will pay its share of the generic cost.
- The University Health Care Plan only allows Coordination of Prescription Drug Benefits between two University plans. 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.
Prescription drug coverage under the Advantage and Comprehensive options of the plan is creditable coverage under Medicare D. Employees and their family members who are eligible for Medicare do not need to enroll in Medicare D coverage as long as they remain enrolled in one of these options.
For more information, visit the RegenceRx website.
- If you have any questions, please contact:
Regence Member Services (888) 370-6159
University Benefits Department (801) 581-7447
RELATED LINKS:
- Affordable Care Act and Health Coverage
- Autism Spectrum Disorder Coverage effective January 1, 2015
- Children's Health Insurance Program (CHIP)
- COBRA Coverage
- Consumer Directed Health Plan (CDHP) & Health Savings Account
- Coordination of Medical Benefits
- Dental Coverage
- Eligibility and Enrollment
- Eligible Dependents
- Employee Assistance Program and Behavioral Health Coverage
- Find a Network Provider
- Preventive Services Under ACA
- Prescription Drug Coverage
- Privacy Notice
- Provider Network and Plan Design Options
- SafeUT Crisis Text and Tip App
- Status Change Events
- Summary Comparison of Medical and Dental Benefits - University Faculty and Staff
- Summary Plan Descriptions
- Tax Form 1095-C
- University Pharmacies
- University Pharmacies
- Virtual Visits