Benefits and Pharmacy

We offer a variety of Medicare benefits to support member needs. Summaries of Benefits, Comprehensive Formularies, and Evidence of Coverage documents will be added here as available.

Benefits and pharmacy updates

GRS Hearing aid coverage update

Effective January 01, 2022, many Group Retiree Solutions (GRS) plans now include the requirement that all hearing aids be supplied by Hearing Care Solutions (HCS).

If you are not an HCS provider and are going to fit a patient for a hearing aid, first verify the member’s out-of-network benefits and then follow the protocol outlined in the following document:

Pharmacy

CarelonRx, Inc.  is our pharmacy benefits manager. Please visit their CarelonRx, Inc.  page for more information, logins to CoverMyMeds and directions for CarelonRX Home Deliver and Specialty Pharmacies.

We provide all clinical criterial documents for injectables, infused or implanted prescription drugs, and therapies covered under our members’ medical benefit on our Clinical Pharmacy Criteria microsite .

Benefits partners*

We work with several partners to provide our members with quality health care. For information about these partners and the services they provide, please visit their websites below.

Vision services