Health Insurance Update
Changes to the Pharmacy Network
Effective January 1, 2017, CVS pharmacies and CVS pharmacies in a Target store will no longer be a part of the Blue Cross Blue Shield of Texas (BCBSTX) standard pharmacy network, administered by Prime Therapeutics. BCBSTX works closely with Prime Therapeutics to continuously assess their pharmacy networks and offerings to ensure they maintain affordable benefits for us, including obtaining competitive reimbursement rates from participating pharmacies within Prime’s network. During ongoing negotiations, CVS Pharmacy requested a higher reimbursement rate for generic prescriptions in comparison to other pharmacies. Therefore, BCBSTX has made the decision to no longer include CVS pharmacies within the pharmacy network. Members will continue to have access to more than 55,000 nationwide pharmacies in network (without CVS), with more than 4,000 located within Texas. This includes many major pharmacy chains such as Walgreens, Walmart, Kroger, HEB, Brookshire’s and many independent pharmacies. Impacted students and dependents who have had a recent CVS claim will be notified in late October with a letter.
Vision Vendor Change
Effective January 1, 2017 BCBSTX will transition from Davis Vision® to EyeMed Vision Care. This change impacts mandated pediatric vision Essential Health Benefits (EHB’s). EyeMed will provide members access to a flexible network, giving them the choice from thousands of independent and retail providers. Members can easily locate an in-network provider by visiting www.eyemed.com or by calling the number on the back of their insurance card. Communication of this change will be sent out to all members in late October.
If you have any questions or concerns regarding these changes, please contact
Academic Health Plans at 855-247-2273 or visit their website: https://uta.myahpcare.com/