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KelseyCare Advantage understands the importance of affordable access to your medications. That is why, the plan is taking multiple steps to ensure low out-of-pocket costs for most of your drugs during the deductible stage:
The annual deductible does not apply to tiers 1, 2, 6, formulary insulins, and Part D vaccines.
You will begin your enrollment paying only the required copay for these products.
A $100 deductible applies to tiers 3, 4 and 5 drugs:
- You will be responsible for the full cost of the drug until the deductible is met and your copay or coinsurance for those drug tiers will begin.
TIPS FOR MANAGING YOUR ANNUAL DEDUCTIBLE:
- Utilize generic products whenever possible.
- Consult with your prescriber to see if there are lower-cost alternatives for any of your medications.
- Prepare to pay more out of pocket for your brand or specialty products at the first fill.
- Track your deductible on your Part D Explanation of Benefits (EOB).
- Use your Part D EOB to track where you are in the deductible stage, how much you have paid towards your deductible and how much would be expected from you to meet the deductible at any given time of the year.
- You can also view your Part D EOB online by registering for the CVS Caremark Portal. To get started, visit caremark.com and choose to register for a new account. You will be required to enter your Member ID, which you can find on your Member ID card. Your ID will start with KCA followed by an 8-digit number. You can also contact the CVS Caremark Customer Care line at 1-888-970-0914 (TTY: 711) for assistance in registering for an account.
