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Prescription Benefits
Many student insurance plans include prescription drug card benefits. They may appear to be part of the plan but are actually a separate program. Prescriptions must be filled at a participating pharmacy. Claim forms are not necessary. The prescription drug card company negotiates with national and local pharmacies to sell you medications at a discount below their retail price. You pay a minimal co-pay (usually $5 or $10 - depending on whether it is a generic or brand name medication) at a participating pharmacy. The balance of the discounted amount is charged against your student insurance plan benefit maximum by the pharmacist.
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To locate your prescription vendor, please input your policy number, or choose the prescription vendor from the list. (You can find your prescription vendor's name on your ID Card)
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If your plan includes a prescription drug card benefit, you will be issued an ID card to show proof of coverage to the pharmacy. You may call the toll-free phone number listed on your brochure to identify participating pharmacies or visit their Web site.
During the first several days of your coverage, until we have an opportunity to report your name to the prescription drug card company, their national pharmacies do not know you are part of the plan. During this time you must pay for medications and submit a special Direct Reimbursement Claim Form for reimbursement. These claim forms can be obtained at your student health service, the Claims Administrator, or our office. A list of pharmacies can be obtained at your student health center or by calling Special Risk Consultants at 610/489-6100.
Not all medications are covered. Typical exclusions include birth control pills, acne treatments and vitamins. A list of covered medications and exclusions is included with your ID card.
To find out more about your Prescription Drug Card Benefits, including a list of approved pharmacies, please visit their web site from this page.
