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CHANGE IN 90-DAY PRESCRIPTION NETWORK Several independent Montana pharmacies that are part of a purchasing group recently notified Caremark that they would no longer provide 90-day supplies of prescription drugs. Please note this is for extended, 90-day supplies only. All of the pharmacies are still participating and will fill the standard 30-day supply of your medications. If your pharmacy was affected and you would like to know your other options, you may contact CVS Caremark at 1-800-895-0690. Two letters about this change have recently been sent to members. The first includes an incorrect customer-service phone number and the second corrects that mistake by including the number listed above. We apologize for any inconvenience the network change or the mistake may cause. MASBO PRESENTATION This PowerPoint presentation, from the MASBO convention on June 17, 2010, deals with healthcare consumerism. YOUNG ADULTS AND AFFORDABLE CARE ACT As you may already know, MUST is moving ahead with some areas of healthcare reform upon group renewal, several months earlier than the mandate requires. One extends the upper limit on the age for children covered by a parent's health-benefits provider such as MUST. Read about it here. FIRST CHOICE HEALTH PREFERRED PROVIDER NETWORK MUST has changed Third Party Administrators effective June 1, 2010. All members are, therefore, advised to check First Choice Health's online provider search to make sure their local providers are in-network. Most Montana doctors are, but it is important to check. Members whose providers are not listed can contact First Choice Health so a specialist can try to negotiate a contract with the provider. For providers nationwide, members can check here. The advantage of using in-network providers is that they accept discounted rates for their services and will not bill MUST members for any amounts that exceed negotiated rates. (But please keep in mind that members are always responsible for meeting plan deductibles and co-payment amounts.) FURTHER INFORMATION ABOUT FIRST CHOICE HEALTH Members wanting to know more about the transition to First Choice Health can click here. PRIOR-AUTHORIZATION LIST If you want to see the new list of non-emergency services that require pre-authorization, you can click here. OTHER HELPFUL LINKS MEA-MFT, MTSBA, SAM Letter of Support Healthy Montana Kids insurance subsidy Handbook for district clerks/benefit administrators Medical assistance when traveling Prorated-premium calculator for adding newborns Healthy Futures Wellness Program H1N1 Flu resource (from Payne Financial Group, Inc.) |
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ABOUT MUST Montana Unified School Trust (MUST) is committed to serving schools and school-related entities in Montana. This commitment has enabled MUST to gain the distinction of being the leading educational health-benefit provider in Montana, insuring more than 120 public school districts and groups. MUST’s goal is to provide the best benefit plans available, the finest service in the industry, the most cost-effective management, leading-edge wellness services, and a solid financial base. By pooling approximately 4,000 school employees and 9,000 total covered lives, MUST has the ability to lessen claim and rate volatility and to control costs by spreading risk over a large population base. MUST prides itself on providing hands-on attention and personal service to its members and their families. 2009 – 2010 MUST Board of Trustees
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