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The Wellness Program’s current discount will still be in effect throughout the plan year of July 1, 2017 – June 30, 2018.
To be eligible for the Wellness Incentive for the July 1, 2018 – June 30, 2019 year, you will need to complete an annual physical and an Annual Physical Exam Verification form. The Town will not collect any PHI or any medical records, just confirmation that the routine medical exam was completed.
All forms are due to the Human Resources Department by Friday, June 1st, 2018, to be eligible for the wellness program beginning July 1, 2018. Individuals who complete the annual physical and annual physical exam verification form will be enrolled in the Town's wellness program and their co-share will be 17.5%.
BCBSRI – Formulary Change
As many of you are aware, BCBSRI re-evaluates its formulary every April and October. Attached is an on overview of the different types of changes that will be occurring. BCBSRI has reviewed the claims on who will be impacted. Those members have been sent letters from BCBSRI. Members may receive more than one letter if they are taking more than one targeted drug or multiple strengths of the same drug.
There are 4 types of changes taking place so there are four types of notices being distributed with this formulary update:
1. Brand drugs with available generic equivalents being transitioned to non-coverage. Generic versions are still covered.
2. Tier change notification for drugs moving to either a higher co-pay tier or lower co-pay on their assigned formulary
3. Formulary exclusion for products with preferred alternative available. (Request for coverage will require medical necessity.)
4. Prior Authorization designation for select drugs that will now require authorization for coverage.
Individuals who have additional information on how this changes may affect them can contact BCBSRI at 401-459-5000 or 1-800-639-2227.