2015 Dean Health Plan Individual & Family Plan Book

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16 | 2015 Individual & Family Plans
Annual and Lifetime Limits Removed on Essential Health Benefits
Essential Health Benefits cannot include dollar limits, either annually or on a lifetime basis. Depending on the type of plan
you purchased, services associated with Essential Health Benefits may still require cost sharing in the form of copays,
coinsurance and deductibles.
Pre-existing Conditions
Your plan will not contain exclusions or limitations for any pre-existing conditions, which are health issues you experienced
before you purchased insurance. In addition, your health insurance premiums will not be higher because of any
pre-existing conditions.
Child-only Coverage Now Available
Dean Health Plan now offers child-only policies through all its plan options. Individuals 20 years of age and younger are
qualified to enroll in these plans on or off the Health Insurance Marketplace, regardless of whether a parent is enrolled.
Prescription Coverage
Dean Health Plan offers programs to make filling prescriptions easier and save you money along the way. Prescription
coverage benefits vary from plan to plan. Please read the plan information for more specific information.
Save Time with a Three-month Supply. When you take advantage of a three-month supply for your long-term
medications, you skip the hassle of going to your local pharmacy every month. It’s easy to get started. Just ask your
doctor to prescribe a three-month supply, have the order sent to your pharmacy of choice.
Cut Costs with Generic Medication. When you take the generic version of your medication, you experience significant
savings over brand-name drugs. Dean Health Plan offers a Generic Sampling Program that allows you to try certain
generic medications at no charge. If your medication qualifies for the Generic Sampling Program, ask your doctor to write a
prescription for a 30-day trial supply, and the first time you fill it, your prescription is free.
Visit o see if your medication is eligible.
You Split the Tablet, We’ll Split the Copay. Some medications are eligible for tablet splitting. This means
you save up to 50 percent on your medication copayment or coinsurance by splitting your pills. Visit
to see if your medication is eligible for tablet splitting.
Take Advantage of Mail-Order Pharmacy. Dean Health Plan partners with WellDyneRx to provide members with
mail-order pharmacy for long-term medications. With mail-order pharmacy, you are sent up to a three-month supply—including
free shipping.
Go Online!
Dean Health Plan’s pharmacy page has everything you need to know
about prescription drug coverage. Visit deancare.com/pharmacy.
• Our plans include a standard drug listing of covered medications
called a formulary. Browse the complete drug formulary that includes
a list of covered medications and what you can expect to pay for
each tier.
• View the Quick Reference Guide.
• Check out the complete drug exclusion list.