Can I still enroll in PSERS HOP program?

Advisories:

• You can enroll in PSERS HOP program anytime you meet “Qualifying Event” criteria.

• You retire or lose health care coverage under your school employer’s health plan. (Coverage under your school employer’s health plan includes any COBRA continuation of coverage you may elect under that school employer plan.)

• You involuntarily lose health care coverage under a non-school employer’s health plan.

• You or your spouse reach age 65 or become eligible for Medicare.

• You experience a change in family status (including divorce, your death or death of a spouse, addition of a dependent through birth, adoption, or marriage or loss of a insurance eligibility by a dependent through loss of eligibility).

• You become eligible for Premium Assistance due to a change in legislation.

•  A plan approved for Premium Assistance terminates or you move out of a plan’s service area.

• You can also enroll during special “Open Enrollment” periods.

 

Contact PSERS for further information.

Phone:  800-773-7725

Website:  www.psers.state.pa.us                                                                                                                                                                 

Rev 12.05.12

Why can’t I get a 90-day prescription filled?

Advisories:

•  Mail order is generally used to get a 90-day prescription.
  

• Check your plan to see if there is a provision for 90-day fills at a local pharmacy.

• Check www.medicare.gov for additional information

Rev 12.05.12

What do I do if a specific drug is not covered in my prescription plan?

           Advisory:

• A new booklet available from the Federal Citizen Information Center and www.yourpharmacybenefit.org will inform you about all your options including how to appeal a denial of coverage. The booklet guides you through the process and provides tips on how to handle your situation.  To obtain your free copy go on-line to www.pueblo.gsa.gov and look up publication #520R or enter drug plan in search box or call 888-878-3526, NOTE there is a 2 dollar fee for phone orders.

What are my choices for Medicare supplemental insurance?

 

Advisories:

• Check www.medicare.gov for an on-line comparison of available plans.

• Check Social Security manual for local plans

• If members of PSERS, check HOP options.  Remember the $100 premium assistance benefit from PSERS is only valid for HOP (or local school district) participants.

Rev 12.05.12

How can I reduce prescription drug costs?

 

Advisories:

• Use generic drugs when possible.

• Check mail order or different local pharmacies for best prices.

• Check different Medicare Part D plans.

• Check special generic purchase plans at nationwide chains.  There are different programs that sell generics as low as $4 for 30 day supply or $10 for 90 day supply.

• Check www.parxpricefinder.com, the state’s new web site that compares drug prices for 300 of the most commonly prescribed drugs at different pharmacies that are convenient to you.   If the PA RX Price Finder pages do not link you directly to the information on drug prices, do a Google search on Pennsylvania RX price finder.