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Home / Member / Medicare Members / Non-Network Pharmacy Benefits

HealthChoice Medicare Supplement Plans
Non-Network Pharmacy Benefits

Although HealthChoice may cover your prescriptions when they are purchased at a non-Network pharmacy, a reduced benefit applies. An exception can be made in the event of an emergency. It is considered an emergency when you:

  • Travel outside the HealthChoice service area and run out of medication, or become ill and need a covered medication and are unable to access a Network Pharmacy
  • Cannot timely get a covered medication within your Plan’s pharmacy network
  • Fill a prescription for a medication that is not stocked at a Network Pharmacy
  • Receive a prescription for a covered medication that is dispensed by a non-Network outpatient facility, such as an emergency room, clinic, or surgery center

If you must use a non-Network pharmacy, you must pay the full cost for your medication and then ask HealthChoice to repay you for its share of the cost. See the Claim Procedures section of your HealthChoice Medicare Supplement Handbook. Before you fill a prescription in this situation, check to see if there is a Network Pharmacy in your area. Click here to locate a HealthChoice Network Pharmacy in your area. You can also contact Medco, 24 hours a day, 7 days a week at:

With Part D call toll-free 1-800-590-6828 or toll-free TDD 1-800-716-3231
Without Part D call toll-free 1-800-903-8113 or toll-free TDD 1-800-825-1230

Last Modified on 01/06/2012
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