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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