State unions were able to win a one-time incentive of $1,000 for members joining the Horizon OMNIA tiered network plan for the first time. Unlike past years, the commitment to stay in the plan is only for one year. The incentive will be sent to you before the end of December.
$0 copay for 90-day generics by mail (effective November 1, 2019)
As part of the Optum Rx mail order program, our unions were able to negotiate a zero dollar copay for generics via mail order for all our members. For those who have prescriptions for maintenance drugs and choose to participate in the mail order program, this can potentially be a great cost savings. Members will have the following options for continuing prescription or maintenance drug deliveries:
- To have current valid prescriptions mailed through the program, submit prescription to Optum Rx and you should be enrolled in the mail program automatically.
- To continue to receive some or all medications at your local pharmacy, you must disenroll from the Mail Service Member Select program or specify which route each prescription should take through Optum Rx by phone or online.
Go to “My Profile”
Scroll down to “Manage Programs”
Select “Mail Service Member Select”
There are a few items for consideration this month during open enrollment, including one medical provider (Aetna) being phased out by the state, elimination of copay for prescription generics to encourage mail delivery, an incentive to join the Omnia Tiered Network Plan, and what you can do to support school-wide health insurance negotiations.
I encourage you to do research before choosing a health care plan so you will have adequate coverage for you and your families’ medical needs.
Questions? Please contact our union at email@example.com or call (732) 745‑0300.