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Prescription Drug Coverage

UCare for Seniors Classic (Minnesota), Value Plus (Minnesota), and Essentials Rx members have Medicare prescription drug coverage included in their plans. We give you all the coverage you want in one comprehensive plan. It's easy.

Value Essentials Rx​ Value Plus (Minnesota) Classic (Minnesota)

Medicare Part D
prescription drug coverage

Not covered

  • $75 deductible
  • Copays based
    on drug tiers
  • No deductible
  • Copays based
    on drug tiers

  • No deductible
  • Copays based
    on drug tiers

  • More coverage for generics in gap

 

A Guide to Comparing Your Options - Minnesota (PDF)
Turn to page 25 for detailed information on the prescription coverage included with each plan option including tiers, copays, and coverage in the Part D gap.

A Guide to Comparing Your Options - Wisconsin (PDF)
Turn to page 20 for detailed information on the prescription coverage included with each plan option including tiers, copays, and coverage in the Part D gap.

Comprehensive Formulary (PDF) (Updated 05/2015)
Look up your prescription drugs in UCare's drug list.


Do you qualify for Extra Help with your prescription drug costs? 

If you get Extra Help from Medicare to help pay for your Medicare prescription drug plan costs, your monthly plan premium with UCare will be lower than what it would be if you did not get Extra Help from Medicare. The amount of Extra Help you get will determine your total monthly plan premium as a member of our plan.

This table shows you what your UCare monthly plan premium will be if you get Extra Help.

Your level of Extra Help
Monthly premium for Minnesota*  
Monthly premium for Wisconsin*
Classic
Value Plus
Essential Rx
Value Plus
Essentials Rx 
100%
$140.50
   $92.80
$42.30
$83.90
$38.50
75%
$147.40
$98.30
$43.70
$89.40
$41.40
50%
$154.20
$103.90
$45.10
$94.90
$44.20
25%
$161.10
$109.40
$46.60
$100.50
$47.10 

 
*This does not include any Medicare Part B premium you may have to pay.

UCare's premium includes coverage for both medical services and prescription drug coverage. 

If you aren't getting Extra Help, you can see if you qualify by calling: 

  • 1-800-MEDICARE (1-800-633-4227), TTY/TDD users 1-877-486-2048 (24 hours a day/7 days a week),
  • Your state Medicaid Office, or
  • The Social Security Administration at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY/TDD users should call 1-800-325-0778.

You can also find information on the Medicare and Social Security Administration websites (external sites).

If you have any questions, please call UCare's Customer Services at 1-877-523-1515 toll free, TTY 1-800-688-2534 toll free, 24 hours a day, seven days a week.

Medicare Savings Programs
Use this tool to find out which programs can help you.  

Current Members 

The documents and information you need to understand your Part D prescription drug benefits.

Best Available Evidence Policy (external site)
   
Prescription Drug Claims Form (PDF)

Prior Authorization (PDF) (Updated 05/2015)

Step Therapy (PDF) (Updated 04/2015

Formulary Removals and Changes (PDF) (Updated 04/2015)

Formulary Additions and Changes (PDF) (Updated 05/2015)

Request for Medicare Prescription Drug Coverage Determination Form (PDF)

Prescription Drug Transition Policy (PDF) (Updated 06/2015)

Mail order pharmacy program

UCare members with Medicare can order certain medications by mail through Express Scripts, UCare’s Pharmacy Benefits Manager. Benefits include free home delivery, safe and reliable, and professional service 24/7. Choose one of three easy ways to start receiving your medications at home.

1.  Mail in your prescriptions

Simply complete and mail an Express Scripts Pharmacy order form with a 90-day prescription from your doctor for each maintenance medication (with up to one year of refills, if appropriate). To get an order form, contact Express Scripts at 1-877-567-6320 (TTY 1-800-899-2114). You can also get a form by contacting UCare Customer Services.

2.  Call in your prescriptions

Call 1-877-567-6320 to speak with an Express Scripts patient care advocate who can help you get started with Home Delivery. Hours of operation are 7:45 a.m. to 5 p.m., Monday through Friday. TTY/TDD users should call 1-800-899-2114. When you call, please have your ID number (found on your member ID card), your doctor's name and phone number, and a list of your current medications or medicine containers.

3.  Visit Express Scripts online

Go to Express-Scripts.com and follow the prompts.