CU Health Plan — Medicare, provided by Anthem Blue Cross Blue Shield, is available to Medicare-eligible participants and their spouses/dependentsDependentAn employee’s spouse, common-law spouse, civil union partner, domestic partner, children under the age of 27, and qualifying disabled children over age 27 of the employee or of the spouse/partner who are biological, legally adopted or for whom there are parental responsibility documents issued by a court. who are enrolled in Medicare Parts A and B.
You cannot participate in this plan if you are not enrolled in Medicare Parts A and B. This is not a Medicare supplement or MediGap plan.
- Medicare Parts A and B is your primary coverage for any claim.
- CU Health Plan — Medicare pays secondary for services covered by Medicare.
- The plan will not cover services that Medicare does not pay.
- CU Medicare will pay up to the allowable amount set by Medicare Parts A and B for that specific service.
- Most medical services or supplies not covered under Medicare are not covered benefits under this plan.
- Ernollment into any other Medicare Plan, Medical or Rx, will terminate your CU coverage.
Over/Under Option
- The member(s) eligible for Medicare will be enrolled in the CU Medicare Plan (must be enrolled in Medicare Part A and Part B) and the member(s) not Medicare-eligible will be enrolled in the High Deductible Plan.
- Although the CU Medicare and High Deductible are two different plans, the premiumsPremiumThe monthly cost to participate in the plan. Typically, it is shared between the employee and the employer. Premiums are deducted from your monthly paycheck. for this option are bundled. See your rate sheet for pricing details.
- Rates for this plan are subject to change July 1 when the CU Health Plan - High Deductible plan rates change.
Plan details
- CU Health Plan - Medicare Benefits Coverage Summary (8 pages)
- CU Health Plan - Medicare Benefits Booklet (71 pages)
- SilverScript Pharmacy Benefits Booklet (126 pages)
- Anthem Preventative Care Guidelines
Covered providers and medications
- Find a doctor or urgent care
- Call 1-800-735-6072
- Access the CVS Formulary
- For pharmacy questions, call 1-888-964-0121
- Find an in-network pharmacy
Prescription Benefits
Plan coverage is determined by medication type, supply amount and pharmacy services:
| Drug Tier | Coverage |
|---|---|
| Tier 1 (Generic drugs) | CVS Retail or CVS Mail Order Pharmacy:
|
| Tier 2 (Preferred brand drugs) | CVS Retail or CVS Mail Order Pharmacy:
|
| Tier 3 (non-preferred brand drugs) | CVS Retail or CVS Mail Order Pharmacy:
|
| Tier 4 (Specialty Orals and Injectable drugs) | CVS Retail, CVS Mail Order or Caremark Retail Network Pharmacies:
|