According to a news release from Definity Health, the consumer-driven pharmacy benefit program, put together with Medco Health Solutions and Evolution Benefits, will involve workers paying for their prescriptions out of an employer-funded Personal Care Account (PCA).
Benefit dollars left in the member’s PCA at year-end roll over for use by the member for future pharmacy needs. If an employee’s annual pharmacy costs exceed the PCA benefit dollars, pharmacy health coverage is provided once a deductible is met, the announcement said.
To support and engage members as they exercise greater choice and control over their pharmacy decisions, Definity Health provides Web and phone-based tools and resources, including drug pricing information, a consumer medical drug library, a drug interaction assessment tool and resources that allow members to easily compare cost savings opportunities through, among other methods, generic substitution, mail order and pill splitting.
Medco Health will provide nationwide retail pharmacy network access, home delivery prescription services and customer care call center services with 24-hour, toll-free access to pharmacists. Evolution Benefits will provide its debit card technology, known as the “Benny Card,” allowing, point-of-service processing of pharmacy transactions.