UPMC for Life’s 2023 plans include many exciting benefits that can improve the overall health of members. One of the ways to help members live their best lives is by providing affordable prescription drug coverage, including those living with diabetes. With so many improvements, UPMC wanted to provide you with a recap of the positive changes to their diabetic drug coverage.
Low copays for covered diabetes medications
Members can save money on brand-name, non-insulin diabetic medications (Tier 2)that help lower blood sugar. These copays are available only in the Initial Coverage Stage and do not apply to members of the HMO No Rx (HMO), HMO Premier Rx (HMO), PPO Premier Rx (PPO), PPO Salute (PPO), Complete Care (HMO SNP), and employer group plans. Copays for these covered medications are:
Save money with donut hole coverage for insulin medications
The copay for covered insulins is the same during the initial coverage and coverage gap “donut hole” stages. This means members will not pay more in the donut hole, which can save them hundreds! Copays for insulins included on plan formulary are:
Please note: Covered insulins have a maximum $35 copay for each one-month supply. This means members will not pay more than $35 for a one-month supply or more than $105 for a three-month supply. These copays also apply to LIS members and are through all Part D coverage stages in 2023. LIS members will pay the lesser of their LIS copay or the copays above. This is an update from what is included in the 2023 enrollment kits. Members can review their plan Evidence of Coverage for more information. For more information about diabetes medications, click here.
Don't have a MedicareValue page yet?
Get Your FREE Site >There are two important updates coming to New York producers at the beginning of April: a transition to a new online Health Risk Assessment, and a change to New York's Broker of Record process.
In accordance with compliance requirements, Gerber Life will require any upline that has Agents selling Gerber Life products in an override state to be licensed and appointed in that state in order to receive override commissions.
One of the most valuable ratings Clover can get is out of the CAHPS (Consumer Assessment of Healthcare Providers and Systems) survey sent by CMS each year.
Do you have questions or requests for GTL's Sales Support team and don't have time to call?
Acquired in 2019 by the UnitedHealthcare company, The Chesapeake Life Insurance Company is now officially welcomed into the UnitedHealthcare brand family
Choosing an FMO to work with is not just about having access to top insurance products and commissions, it’s about finding a one-on-one agent service that is prepared to meet your needs.
Get to know us, and see how we can help you take your business to the next level.