PaydHealth Welfare Trust Fund Summary of Material Modifications
Specialty Mail Order Program and Select Drugs and Products Program (“Program”)
The Specialty Mail Order Program is provided by CVS/caremark where you can initiate a prescription transfer or request a new prescription for your Specialty Drugs by calling CVS/caremark.
The Select Drugs and Products Program is an advocacy service provided by PaydHealth, LLC. The purpose of this service is to provide financial case management for Specialty Drugs, products, and services included on the Select Drugs and Products List, in order to reduce costs to the Plan and covered Person.
Select Drugs and Product List
Please note that the Select Drugs and Products Program only applies to: (1) active Employees and their Dependents; (2) retirees who are NOT eligible for Medicare and their Dependents; and (3) Dependents of Medicare-eligible retirees who are NOT eligible for Medicare. The Program does NOT apply to retirees who ARE eligible for Medicare and their Dependents who ARE eligible for Medicare.
Covered Persons seeking coverage through the Fund’s prescription drug or medical benefits for products included on the Select Drugs and Products List are required to enroll in the Select Drugs and Products Program. Failure to enroll in the Program may result in the covered Person being responsible for the full cost of the billed charges.
If you are currently being prescribed a Specialty Medication, or will be in the future, you will be receiving a letter from PaydHealth explaining the Program details as they relate to your specific circumstances. That letter will include important phone numbers and information on your participation in the Program.