Pharmacy
Medical You have three medical plans to choose from. The medical plans provide comprehensive coverage but are different in how they are designed. You decide which Meritain Medical plan best meets your needs:
Capital Rx will administer your prescription drug benefits
• You will receive an ID card with both Meritain and Capital Rx information on the card • Contact Capital Rx with any questions about your prescription drug coverage
HDHP Plan EPO Plan
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Important Note for Mail Order and Specialty Drugs:
PPO Buy-Up Plan
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• If you wish to receive your prescription(s) by mail or if you have specialty medication, you will need to fill them through Optum Rx. • Call Capital Rx at (888) 832-2779 and follow the prompts for “medications delivered to your home” or “specialty pharmacy” and ask your doctor to send an electronic prescription to Optum Rx.
Meritain MEDICAL PLANS
Meritain, a subsidiary of Aetna, is the administrator of your medical plan. Meritain issues ID cards, processes claims, and handles service issues.
All three Meritain medical plan options use the Aetna Choice POS II network. Your provider must send claims to Meritain (not Aetna) at the address on the back of your ID card to avoid delays in processing. Both the HDHP Plan and the PPO Buy-Up Plan have coverage for Out of Network services. Your out-of- pocket costs will be less for in-network care. If you seek care from an out-of-network doctor, you’ll pay a greater percentage of the cost.
Visit www.youtube.com/watch?v=5daoWPGLSHA for an introductory video to CapitalRx .
** For illustrative purposes only. Please refer to your plan documents for all plan details
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