Important pharmacy discount change in 2025
In this issue:
Starting in 2025, the pharmacy discount for a 90-day supply will be limited to mail order rather than retail for standard plans. This will be a change for most members when they renew their plans in 2025. In response, we will be emailing our members this week to share tips on saving money on medications. The email will include the following suggestions for members:
1. Consider using our convenient mail order program for 90-day supplies of maintenance medications. When you use mail order, you can save up to one month of cost sharing. Visit your secure member portal to get started with Optum Home Delivery.
Important: For most plans, the mail order program will be the only way to get a discount on 90-day supply of maintenance medications once coverage renews in 2025. While you will continue to be able to get a 90-day supply of medications at participating retail pharmacies, the discount may not apply.
2. Activate your Rx Savings Solutions (RxSS) account also through your member portal. Mass General Brigham Health Plan works with RxSS to help save money by analyzing your prescription coverage and providing cost-saving medication alternatives. This tool is linked to your specific benefit plan and customizes prescription savings just for you.
3. Take advantage of your over-the-counter drug benefit. Pay nothing, or only your plan’s cost sharing, for many routine over-the-counter drugs with a prescription.
We're excited to announce the updated 2025 Merged Market portfolio is now available! Visit the broker portal or broker page to view and download.
What are the trends impacting today's healthcare and coverage landscape, and what do they mean for the future of the industry? Our 2024 healthcare trend report covers challenges and changes in the industry to give you insight into the future of healthcare. Download the full report for an exclusive look at:
Next week, we’ll be sending our employer customers an invitation to download the trend report as well.
Our annual member notification is in the mail! This edition highlights a variety of topics including:
Additionally, the notice includes important information about member rights and responsibilities, privacy practices, and more. View the full 2024 notification.
Come visit Mass General Brigham Health Plan at the Snowport in Boston's Seaport district. We are sponsoring free curling lanes and lessons all season long. Book a lane or lesson now through Friday, February 28. For some holiday magic, drop by our wish wall to manifest your holiday dreams. We'll see you there! Learn more: https://www.bostonseaport.xyz/snowport
Mass General Brigham Health Plan announced its Medicare Advantage plans will be available to Nantucket, Martha's Vineyard, and all of Dukes County residents starting January 1, 2025. As part of a comprehensive approach to support access to critical healthcare services, Mass General Brigham Health Plan is also introducing a new transportation allowance on its 2025 Medicare Advantage plans for non-emergency transportation for medical visits, including taxis, rideshares, and public transportation.
Read the full Nantucket press release
Read the full Dukes County press release
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