Drug Plan Transition

Blue Cross Medicare Advantage HMO, HMO-POS, and PPO

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If you are new to our plan or affected by a level of care change you may be taking medications that are NOT included on the plan's drug list. In this case, you may be eligible for a temporary supply of that medication during your transition. You'll qualify if you:

  • Enroll into a prescription drug plan during open enrollment
  • Become eligible for Medicare after the 1st of the year
  • Switch from another plan to our plan after the 1st of the year
  • Are affected by a level of care change (for example, admitted or discharged from a long-term care facility)
  • Are affected by formulary changes from one year to the next

This transition coverage may continue your current medication, allowing time for your doctor to:

  • Change your prescription to an alternate medication that's included on the plan's formulary
  • Send an exception request so your medication will continue to be covered based on medical necessity

Learn more details about our transition policy

Document Downloadable Materials
2017 Prescription Drug Transition Policy
Document Downloadable Materials
2016 Oklahoma City and Surrounding Area Prescription Drug Transition Policy
2016 Tulsa and Surrounding Area Prescription Drug Transition Policy