Mail-order pharmacy service

Using the mail order pharmacy service for your ongoing prescription drugs is easy, convenient and can save you money.

You can order up to a 90-day supply of your Tier 1, 2, 3 and 4 drugs or up to a 31-day supply of Tier 5 drugs from our network mail-order pharmacies.

For questions about your copays or what tier your drug is in, please refer to your Drug Formulary or call Express Scripts® or Walgreens mail-order pharmacy (see contact information below).

You are not required to use a mail-order pharmacy to obtain your extended supplies of maintenance medications. However, mail-order pharmacies often charge less and offer more convenience.

If your retail pharmacy agrees to accept the mail-order reimbursement rate for an extended supply of medications, your cost will be the same as the mail-order pharmacy. If your retail pharmacy does not agree to match the mail-order reimbursement rate, you are liable for the cost difference.

How to start:

Print the appropriate mail order pharmacy form below or call the contact number below to request a Mail-Order Kit. We contract with Express Scripts and Walgreens mail-order pharmacies. Select a mail-order pharmacy and fill out the Member Information section and the Patient Information section for each new prescription you send. If you are enrolling in Express Scripts mail-order pharmacy, also be sure to fill out and mail in the plan-specific Health, Allergy and Medication Questionnaire the first time you use your mail-order benefit.

Enclose your doctor's signed prescription form. Fill out the credit card section on the form or include your check or money order for the required copay. For more details about your prescription drug cost-share amounts, refer to your Evidence of Coverage or Summary of Benefits. It generally takes five days to process your order and mail it to you.

Refills:

Getting refills for your prescription is easy. Just call the mail-order pharmacy service number or order online by referencing the prescription (Rx) number listed on your drug container. See contact information below. It's always a good idea to order your refills at least two weeks before your prescription runs out.

Contacts:

Express Scripts® Home Delivery pharmacy

1-800-229-0832
24 hours a day, seven days a week
www.Express-Scripts.com

Express Scripts mail-order pharmacy forms and questionnaires

Walgreens mail- and fax-order pharmacy program

For use by individual plan members for the Walgreens Mail and Fax Order Pharmacy program.

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Important information about these plans

Medicare Plus Blue and Prescription Blue are PPO and PDP plans with a Medicare contract. Enrollment in Medicare Plus Blue and Prescription Blue depends on contract renewal.

Medicare Plus Blue PPO

Medicare Plus Blue PPO is available to all Medicare beneficiaries who are Michigan residents and are entitled to receive services under Medicare Part A and enrolled in Part B.

With the exception of emergency or urgent care, it will cost more to get care from non-plan or non-preferred providers. Your responsibility will be greater out-of-network when the out-of-network coinsurance is based on the Medicare-allowed amount and the contracted amount is lower. You may receive services from any provider who accepts Original Medicare. Your out-of-pocket costs will be lower if you choose a network provider. To find a network provider, visit http://www.bcbsm.com/medicare/find-a-doctor/.

Prescription Blue PDP

Prescription Blue PDP is available to all Medicare beneficiaries who are Michigan residents entitled to receive services under Medicare Part A and/or enrolled in Part B.

Medicare Plus Blue PPO and Prescription Blue PDP

Premiums vary by county. You must continue to pay your Medicare Part B premium. You may enroll in only one Part D plan at a time.

Limitations, copayments and restrictions may apply.

Our network includes approximately 2,400 Michigan retail pharmacies, representing approximately 98 percent of all Michigan pharmacies. Nationwide, most chain pharmacies are in our network, as well as long-term care and home infusion pharmacies and Indian/Tribal/Urban (Indian Health Service) pharmacies.

In general, benefits are only available at contracted network pharmacies. Plan drugs may be covered in special circumstances; for instance, illness while traveling outside of the plan's service area where there is no network pharmacy. You may have to pay more than your normal cost-sharing amount if you get your drugs at an out-of-network pharmacy. Quantity limitation and restrictions may apply. In addition, you will likely have to pay the pharmacy's full charge for the drug and submit documentation to receive reimbursement from Blue Cross Blue Shield of Michigan. For additional information on network pharmacies, please call Member Services at 1-877-241-2583, 8 a.m. to 9 p.m. Eastern time, Monday through Friday, Feb. 15 through Sept. 30, with weekend hours Oct. 1 through Feb. 14. TTY users call 711. Certain services available 24/7 through our automated telephone response system. You may also write to: Blue Cross Blue Shield of Michigan, 600 E. Lafayette Blvd., Mail Code X521, Detroit, MI 48226.

If you decide to have your plan premium withheld from your Social Security check or deducted from your checking or savings account, it may take up to three months for the automatic deduction to begin. If your premium amount is currently withheld from your Social Security check or deducted from your checking or savings account and you wish to receive a monthly bill instead, the change may also take up to three months to become effective. During this time, you will be responsible for paying your premium.

The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan. Benefits, formulary, pharmacy network, premium and or copayments/coinsurance may change on Jan. 1 of each year.

Medicare beneficiaries may enroll in Medicare Plus Blue PPO or Prescription Blue PDP through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov. BCBSM does not control Medicare's website and is not responsible for its content. You may only enroll in Medicare Plus Blue PPO or Prescription Blue PDP during specific times of the year.

For more information, please contact Blue Cross Blue Shield of Michigan at 1-888-563-3307. TTY users call 711. Hours are: 8 a.m. to 9 p.m. Eastern time, Monday through Friday, Feb. 15 through Sept. 30, with weekend hours Oct. 1 through Feb. 14.

LegacySM Medigap

Legacy Medigap offers access to any hospital, doctor or other health care provider in the U.S. or its territories that accepts Medicare assignment. The plan does not require members to use a specified provider network. Legacy Medigap is a Medigap health insurance policy administered by Blue Cross Blue Shield of Michigan. Neither Blue Cross Blue Shield of Michigan nor agents authorized to sell Blue Cross Blue Shield of Michigan policies are connected with Medicare.