Select Your Plan

Plan A: Member Choice Home Care Select Plan

If you select Plan A, our Member Choice Home Care Select plan, you have no co-payments for covered medications or medical services when you use your pre-selected Health Center for primary care.

Plan B: Panel Provider Plan

If you select Plan B, our Panel Provider plan, you receive the same quality care – with minimal co-pays for certain services (see below) – by choosing participating providers within the Home Care Benefit Fund network.

Using Your Plan

The Preferred Drug List (PDL)

Have your doctor prescribe preferred drugs on the 1199SEIU Preferred Drug List (PDL). Share this list with your doctor and work together to find the best covered option for you. If your doctor prescribes a drug in a category covered by the Benefit Fund but you don’t see it on the Preferred Drug List, just ask your doctor to prescribe any generic medication or a brand-name if there are no generics available.

The 90-Day Rx Solution

Fill long-term medications through The 90-Day Rx Solution, the Benefit Fund’s maintenance drug program. Ask your doctor to write your prescription for a three-month supply with three refills (a year’s supply in total), and fill it through CVS Caremark Mail Service Pharmacy, or order and pick up your prescription at any CVS, Rite Aid, Walgreens or Duane Reade pharmacy nationwide.

• CVS Caremark Mail Order Form
• Formulario de pedido por correo de CVS Caremark
• Prescription Drug Reimbursement Form (Direct Claim Form)

Participating Pharmacies

Fill short-term prescriptions at participating pharmacies.

CVS retail pharmacies are offering the updated COVID-19 vaccines to patients nationwide.

Appointments can be scheduled online via CVS.com, through the CVS Health app, or patients can walk into CVS retail pharmacies. Prescriptions from outside prescribers is not required in any state to receive a COVID-19 vaccine. CVS pharmacists will answer any questions patients may have about the vaccine.

Prior Authorization

Some medications and services require prior authorization. If your doctor thinks you need a medication that is not on the Preferred Drug List, call CVS Caremark at (833) 250-3237 or CVS Specialty at (855) 299-3262.

Specialty, Step Therapy and Quantity Duration Drugs

In order to continue to safeguard your health while providing you access to the medications you need, we use prescription programs such as our specialty medications list and drug quantity management drug list.

Prescription Co-Pays

Your Benefit Overviews

• Plan A: Member Choice Home Care Select
• Plan A: Member Choice Home Care Select in Spanish
• Plan B: Panel Provider Plan
• Plan B: Panel Provider Plan in Spanish

Additional Resources

• Prescription Drug Reimbursement Form (Direct Claim Form)
• Pharmacist Authority to Administer Vaccines by State New