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Copay: Pharmacy, Dental & Vision

Pharmacy Benefit Change – Beginning June 10, 2003
Some Passport Health Plan members in Kentucky will have to pay a small amount for pharmacy services. This amount is called a copayment.

This copayment includes:

A $1.00 copayment for each prescription.

The following members will not have to pay a copayment:

  • Members under the age of 18 years.
  • Pregnant members.
  • Members receiving services within the first 60 days after delivery of a baby.
  • Members in a nursing facility.
  • Members in a personal care home.
  • Members in an intermediate care facility for people with mental retardation (ICF/MR).
  • A foster child in state custody.
  • An American Indian or Alaskan native served through KCHIP.
  • Members in hospice care.

If you have any questions regarding this benefit change, please call Member Services at 1-800-578-0603. If you are a person with a hearing impairment, you may call our TDD/TTY number, 1-800-691-5566.

Dental and Vision Benefit Change
Some Passport Health Plan members in Kentucky will have to pay a small amount for dental and vision health services. This amount is called a copayment.

These copayments for dental and vision services will be effective beginning July 1, 2003. Members who must pay these copayments will have “Subject to Copayment” printed on their Medicaid cards and have a star (*) beside their names. These copayments include:

A $2.00 copayment for services from:

  • Dentists
  • Vision providers including
  • Opticians
  • Optometrists
  • Other providers if they provide eye exams only. This might include your primary care provider, rural health clinic, etc.

The following members will not have to pay a copayment:

  • Members under the age of 18 years.
  • Pregnant members.
  • Members receiving services within the first 60 days after delivery of a baby.
  • Members in a nursing facility.
  • Members in a personal care home.
  • Members in an intermediate care facility for people with mental retardation (ICF/MR).
  • A foster child in state custody.
  • An American Indian or Alaskan native served through KCHIP.
  • Members in hospice care.

If you have any questions regarding this benefit change, please call Member Services at 1-800-578-0603. If you are a person with a hearing impairment, you may call our TDD/TTY number, 1-800-691-5566.

 

 
 
 
 
 
 
 
 
 
 
 
 
 
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