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Health & Welfare
Prescription
Drugs
Prescription Drugs -
Filing a Claim
When you go into
a network pharmacy, present your Health & Welfare ID card to the
pharmacist so he or she knows you are an Alaska Electrical Health &
Welfare Plan participant. They will process your claim immediately,
apply the negotiated discounts and charge you for your co-pay. The
remainder of the claim will be paid by the Plan and you do not need to
file a claim.
If
you forget to use your card, or if you use a non-network pharmacy, you
will have to file a paper
Prescription Claim Form with
Caremark. The Plan’s payment will be based on
the negotiated discounted rate. In most cases, the contracted rate
will be less than the full retail charge and you will be responsible
for paying the difference in costs.
Co-ordinating
Benefits
If
your other health plan is primary for your dependent, use the other
plan’s prescription drug card and/or submit the claim to the other
health plan first. Once the primary plan makes its payment, you may
file with Alaska
Electrical Health & Welfare Fund as secondary. To do so, send
your prescription receipts to the Administrative Office.
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