UCare for Seniors Classic, Value Plus 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.
Medicare Part D prescription drug coverage
Copays based on drug tiers
A Guide to Comparing Your Options (PDF)Turn to page 29 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 05/2016Look up your prescription drugs in UCare's drug list.
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.
This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments and restrictions may apply. Benefits, premiums and/or copayments/coinsurance may change on January 1 of each year.
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:
You can also find information on the Medicare website (external site).
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.
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 Criteria (PDF) Updated 05/2016
Step Therapy Criteria (PDF) Updated 05/2016
Formulary Removals and Changes (PDF) Updated 04/2016
Formulary Additions and Changes (PDF) Updated 04/2016
Request for Medicare Prescription Drug Coverage Determination Form (PDF)
Request for Redetermination of Medicare Prescription Drug Denial Form (PDF)
Prescription Drug Transition Policy (PDF)
Medication Therapy Management Program (PDF)
The Medication Therapy Management Program is available to all Medicare-eligible members who meet program criteria. While not a part of a prescription drug benefit, it is a Medicare designed program sponsored by UCare.
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: