65C Plus Prescription Drug Coverage
HMSA’s 65C Plus Prescription Drug Coverage is an optional supplemental benefit
for members of HMSA’s 65C Plus health plan.
Two prescription drug coverage options are available:
- SRx: Standard prescription drug option.
- ERx: Enhanced prescription drug option.
HMSA’s 65C Plus Prescription Drug Coverage has an open drug formulary, which means
it covers all qualified Medicare prescription drugs. A formulary is a list of prescription
drugs that represent therapies believed to be a necessary part of a quality treatment
program.
In addition, with HMSA’s 65C Plus Prescription Drug Coverage, both generic and brand-name
prescription drugs are covered, and out-of-state pharmacies are available.
65C Plus has a contract with the Centers for Medicare & Medicaid Services (CMS),
the government agency that runs the Medicare program. This contract renews each
year. At the end of each year, the contract is reviewed, and either 65C Plus or
CMS can decide to end it. It is possible for our contract to end at some other time
during the year, too. If the contract should end, HMSA will provide advance notice
to all 65C Plus members.