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Information from your health plan about COVID-19 (coronavirus disease)

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Get prescription drug information - HMO-POS plans

Look up your prescription drugs to find out what tier they are on. Or locate a network pharmacy near you. For Ally Rx D-SNP prescription drug information, click here.

New this year, insulin coverage.

For all Rx plans, you pay $35 for a 1-month supply of eligible insulin products in the Deductible, Initial Coverage and Coverage Gap stages. Select “View 2021 formulary,” choose “Antidiabetic Agents” then “Insulins.” All eligible insulins will be designated with an SI graphic in the Notes & Restrictions column.

How are my prescription drugs covered? 

Get the most value out of your pharmacy benefit by understanding the formulary for your health insurance plan. A formulary is a list of drugs that are covered by your plan. Look up your prescriptions and learn what tier your drugs are in. The tier tells you how much you will have to pay for your prescription.

Low Income

Subsidy Extra help from Medicare for your drug costs and premiums

If you get extra help from Medicare to help pay for your Medicare prescription drug plan costs, your monthly plan premium will be lower than what it would be if you did not get extra help from Medicare. The amount of extra help you get will determine your total monthly plan premium as a member of our plan. This table shows you what your monthly plan premium will be if you get extra help.

Your level of extra help Monthly Premium for Spirit Rx* Monthly Premium for Essence Rx*  Monthly Premium for Ascend Rx* Monthly Premium for Promise Rx* Monthly Premium for Esteem Rx/Assurance Rx/Surety Rx*
100% $185.30 $44.30  $0.00 $32.30 $0
75% $195.50 $54.50  $10.00 $42.50 $0
50% $205.60 $64.60  $20.00 $52.60 $0
25% $215.80 $74.80  $30.00 $62.80 $0

* This does not included any Medicare Part B premium you may have to pay. It also does not include the $34 dental premium if you selected the optional supplemental dental benefit.

Self-help tools

Web access and tools to provide drug pricing transparency, alternative drugs, history of drug claims and side effect information.

Opioid management

Utilization strategies to control and reduce opioid prescriptions and inappropriate use of prescription opioids.


Part D Drug Reimbursement Request form
Part D Vaccine Reimbursement Request form
2021 Medicare HMO-POS Comprehensive formulary
2021 Medicare HMO-POS Prior Authorization formulary
2020 Medicare HMO-POS formulary
2020 Medicare HMO-POS Comprehensive formulary
2020 Medicare HMO-POS Prior Authorization formulary
MedImpact Direct - Medication Mail Order Form
Drug Transition Policy

Pharmacy Locator
Drug Safety News
 New rules for pain medications

Security Health Plan and its agents are not in any way connected with the Medicare program.