Move Ahead with More in 2020

The list of the drugs that your plan covers is called a "formulary." Here are some of the things you should know:

• NEW for 2020, most plans feature $0 copays for many commonly used prescriptions.
• A plan's formulary categorizes prescription drugs into 1 of 4 tiers. Each tier has a different cost-sharing structure.
• You can save money when your doctor prescribes drugs covered in the lower tiers, which includes generic drugs and some brand-name drugs, while higher tiers cover both brand-name and generic.
• Highmark covers prescriptions that are listed on the formulary. If your doctor feels there is a medical reason for you to use a non-formulary drug rather than a covered alternative drug, you or your doctor may ask that the non-formulary drug be covered by requesting an exception.

 Check to see if your prescriptions are covered by reviewing the formulary.

The Highmark app lets you:

• Access your virtual member ID card from anywhere
• Find in-network doctors, hospitals, and urgent care facilities near you
• Compare costs of procedures
• See recent claims activity
• View plan information for covered family members

And more