HealthChoice Medicare Supplement Plans With Part D
Medication Therapy Management
Medication Therapy Management (MTM) is a free program that focuses on improving therapeutic outcomes for HealthChoice Medicare Part D members. The services provided by Express Scripts will help you by ensuring that you are taking your medications correctly while improving medication adherence, detecting potentially harmful medication uses or combinations of medications, and educating you and your healthcare provider(s).
In order to qualify for the program you must:
- Have at least three of the following chronic health conditions:
- Chronic Heart Failure (CHF)
- Asthma/ Chronic Obstructive Pulmonary Disease (COPD)
- End Stage Renal Disease (ESRD)
- Fill at least seven chronic Part D medications
- Expect to incur annual drug costs of over $3,000
If you qualify, you are automatically enrolled in the program and will receive a letter from Express Scripts. The letter includes information about the program and a toll-free number you can call to speak with an Express Scripts pharmacist. Express Scripts’ pharmacists are specially trained in patient counseling and are prepared to discuss such topics as medication use and compliance, drug education, health and safety, and cost saving measures.
You can expect a comprehensive medication review of all your medications including prescription, over-the-counter (OTC), herbal therapies and dietary supplements. You will receive a one on one personal consultation with an Express Scripts pharmacist. You will also receive a written summary that will include a personal medication list, a reconciled medication list, action plan and recommendations for monitoring, education or self-management.
While the program is voluntary, HealthChoice encourages eligible members to participate. If you do not wish to participate in the program, you can contact Express Scripts, 24 hours a day, 7 days a week at:
Toll-free 1-800-590-6828 or toll-free TDD 1-800-716-3231.