2020 Plan Changes
View Plan Change Notices
We would like to make you aware of Plan changes that will take effect on Jan. 1, 2020. These changes include new benefits such as coverage being added for Habilitative services and for virtual visits with your physician. Not all plan changes apply to all plans under the CBEBT so please make sure to refer to your particular Summary of Benefits and Coverage. You can also find the Annual Notices under Privacy Notices & Required Notices.
Livongo Helps you Live a Healthier Life
We have some exciting news for you! Beginning Jan. 1, 2020, if you or a covered family member is diagnosed with hypertension (high blood pressure) you will be eligible for the Livongo for Hypertension Program, which offers real-time recommendations tailored to each person’s unique health experience. Once enrolled, you will receive a connected blood pressure monitor kit and access to the Livongo App through which you send your blood pressure readings. After each reading, a specialist provides you with personalized content based on the current reading and your past trends. You receive feedback if your blood pressure is elevated and can schedule a session with Livongo’s trained coaches. If you have hypertension and are also currently enrolled in the Livongo for Diabetes program, you can now manage both conditions with one easy point of contact.
This new program, along with the existing Livongo Diabetes Management Program, is available free of charge to all CBEBT participants.
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Teladoc Gives you Access to Healthcare Professionals Anytime
Nobody likes to go to the doctor’s office. If you’re feeling under the weather, access providers from the comfort of your home—with Teladoc! By using Teladoc, you have 24/7 access to a panel of 3,100 board-certified health care professionals, 365 days a year. Talk by phone or online with a doctor who can treat your non-emergency symptoms anytime from the comfort of your home, office or anywhere you may be. Teladoc provides you with a convenient alternative to the doctor’s office in case of illness, saving you time and money.
Once you activate your account directly from cbservices.org, you can easily access account information and request a consult anytime you need care. To help you set up your account, download this “Getting Started with Teladoc” flyer.
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Know Your Prescription Drug Plan
Smart90 Gives you a Choice in Prescription Delivery
A new benefit lets you fill a 90-day prescription at any of more than 8,000 Walgreens pharmacies (or its affiliates) nationwide. Starting Jan. 1, 2020, the Smart90 Prescriptions program gives you an option, if you would rather pick up your medications from a pharmacy than have them delivered through the mail.
SaveOnSP—Savings for Specialty Drugs
If you take a specialty drug for a chronic condition like rheumatoid arthritis, or multiple sclerosis, the CBEBT offers you the SaveOnSP program to help reduce the cost of the medication. SaveOnSP is a specialty pharmacy copay assistance program that covers certain expensive specialty medications, resulting in lower costs for you. The program works through Express Scripts and, once you are enrolled, you will continue to receive your specialty medications through Accredo, Express Scripts’ specialty mail-order provider. Enrollment in the program is voluntary, but if you choose not to enroll, you will pay the prescription drug copay for specialty medications and the copay will not count toward your Deductible or Out-of-Pocket maximum.
Check the Formulary
The prescription drug formulary is a list of drugs, generic and brand name, which offer the greatest overall value to you. CBEBT’s Pharmacy Benefits Manager, Express Scripts provides the National Preferred Formulary and updates it quarterly. The drugs are typically grouped into three tiers: generic, preferred brand and non-preferred brand. It’s a good idea to know how your medications are tiered and occasionally check to see if there are changes. Express Scripts also publishes a Formulary Exclusion list. Drugs on this list are not covered and in most cases, if you fill a prescription for one of these drugs, you will pay full retail price.
Generic Drugs-Member Pays the Difference
Did you know U.S. law requires generic medications to have the same quality and performance levels as their brand name equivalent? The only difference is the cost to you. Beginning in January 2020, all CBEBT plans will include a more comprehensive “Member Pays the Difference” provision. That means if a generic is available and the brand medication is filled, regardless of how the prescription is written, you will pay the brand copay and the difference between the brand and generic cost.
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Stop Smoking with Quit for Life®
More than 34 million people in the U.S. are still using tobacco; that is about 1 in 5 adults. While tobacco use has dropped in the U.S., smoking remains the single largest preventable cause of death and illness. Tobacco causes an estimated 480,000 deaths worldwide every year or about 1 in 5 deaths.
If you are a tobacco user, whether it is cigarettes or vaping, you know that quitting isn’t easy and you need a plan to stop. The first part of the plan is to pick a time to quit. Maybe you joined the Great American Smokeout® or are planning on making a New Year’s resolution. The Quit for Life® program, available free to you through Optum, gives you the tools you need to quit tobacco, including vaping products, for good. There is no additional cost to enroll in the program. With Quit for Life, you can work 1-on-1 with a Quit Coach® over the phone, receive advice, tips and encouragement in your journey, and if you qualify, you will receive nicotine patches or gum to help you stop. Enroll now by calling 1-866-QUIT-4-LIFE.