TotalCare (HMO D-SNP) Prescription Drug Transition Policy
Yog tias koj yog ib tug tswv cuab tam sim no lossis tshiab rau TotalCare txoj kev npaj, tej zaum koj yuav tau noj cov tshuaj uas tsis nyob hauv peb Daim Ntawv Teev Npe TotalCare ntawm Cov Tshuaj Kho Mob (formulary) lossis nyob rau hauv peb daim ntawv teev npe tab sis muaj cov cai xws li kev tso cai ua ntej, kev kho cov kauj ruam thiab / lossis txwv kom muaj nuj nqis. Hauv cov xwm txheej no, koj yuav tsum tham nrog koj tus kws kho mob txog lwm yam tshuaj uas muaj nyob hauv peb cov qauv. Yog tias tsis muaj cov kev xaiv zoo, koj lossis koj tus kws kho mob tuaj yeem thov kom muaj kev zam rau cov qauv los npog cov tshuaj lossis tshem tawm cov kev txwv. Thaum koj thiab koj tus kws kho mob txiav txim siab yuav ua li cas, peb tuaj yeem them nyiaj rau ib lub hlis ntawm cov tshuaj thaum koj thawj 90 hnub ntawm kev them nyiaj. Qhov no siv rau cov tshuaj uas tsis yog nyob rau hauv peb cov qauv los yog ntawm peb cov qauv tab sis muaj kev tso cai ua ntej, kev kho cov kauj ruam thiab / lossis txwv kom muaj nuj nqis
Yog tias koj nyob hauv ib lub tsev kho mob mus sij hawm ntev, peb tuaj yeem them nyiaj rau ib lub hlis ntawm cov tshuaj thaum thawj 90 hnub ntawm kev pab them nqi kho mob. Tom qab thawj 90 hnub, peb kuj tseem tuaj yeem muab 31-hnub thaum muaj xwm txheej ceev, tshwj tsis yog koj tus kws kho mob sau tsawg hnub.
Yog tias koj tsiv mus rau lossis tawm hauv tsev kho mob lossis chaw nyob ntev, peb kuj tseem yuav them rau ib lub hlis hloov pauv ntawm koj cov tshuaj thaum lub sijhawm hloov pauv.
Yog tias koj muaj lus nug txog peb txoj cai hloov pauv los yog xav tau kev pab thov kom muaj kev zam, thov hu rau MedImpact Customer Service: Xov tooj: 800-347-5841 (TTY: 711), 24-teev ib hnub, 7 hnub hauv ib lub lis piam, pib lub Ib Hlis tim 1, 2026.
Peb nyob ntawm no los pab koj.
Koj tuaj yeem tham nrog Tus Neeg Sawv Cev Pabcuam Tswvcuab los ntawm kev hu 833-530-9015
Hu rau Chaw Pabcuam Tswvcuab
- Monday txog Friday, 8 mus 8pm
- Xov tooj: 833-530-9015
- Lag ntseg thiab Hard of Hearing Assistance
TTY: 800-735-2929 (Dial 711) - Nurse Advice Line
Cov peev txheej
Xov xwm tshiab
H5692_2026_0113_v1 Cov Ntaub Ntawv & Siv 01.19.2026
8 teev sawv ntxov txog 8 teev tsaus ntuj, xya hnub hauv ib lub lis piam
