Your formulary coverage, pharmacy network or participating providers may change from time to time. If you are impacted you will receive notification. Premium, co-pay, co-insurance and deductibles may vary based on a member’s level of Extra Help. Please call (800) 910-4691 for additional details.

Important Message about What You Pay for Vaccines – Our plan covers most Part D vaccines at no cost to you, even if you haven’t paid your deductible. Call Customer Care for more information.

Important Message about What You Pay for Insulin – You won’t pay more than $35 for a one-month supply of each insulin product covered by our plan, no matter what cost-sharing tier it’s on.