Rx Pay Card

Plan Detail

Plan Administrator: Independence Holding Company IHC | AM Best Rating: A-"Excellent" | Underwriter: Independence American Insurance Company, Madison National Life Insurance Company, and Standard Security Life Insurance Company of New York.

Description


The Rx Pay Card prescription drug card program does not require a health questionnaire and may be used at over 55,000 participating pharmacies throughout the United States. For a full list of prescriptions and to find pharmacies that accept the Rx Pay Card, visit www.advancedrugcard.com.

The Rx Pay Card program has the following tiers:

Tier 1 – Generic drugs

Up to $10 per prescription

Tier 2 – Brand name and select generic drugs

Up to $20 per prescription

Tier 3 – Brand name and select generic drugs

Up to $50 per prescription

Tier 4 – Brand name drugs

Discount only

Please note: Not all FDA-approved generic, preferred or brand name drugs are included in tiers 1, 2, 3 or 4. A complete list of all drugs included in this program can be found at www.advancedrugcard.com. Drug pricing and tier position are subject to change without notice. Tier position and pricing are only for quantities stated; additional quantities may result in higher cost.

The brochure provides a brief description of the Rx Pay Card. The program may not include all drugs. The drug list is subject to additions or deletions without notice. THIS PROGRAM IS NOT INSURANCE. THIS IS NOT A MEDICARE PRESCRIPTION DRUG PLAN, but applies to MD residents when pharmacy discounts are part of program. This program does not meet the minimum creditable coverage requirements under M.G.L. c. 111M and 956 CMR 5.00. The program provides discounts at participating pharmacies for prescription drugs. The discounts offered through the use of the Rx Pay Card are not insurance and are not intended as a substitute for insurance. The range of discounts will vary depending on the pharmacy and prescription drug. The program does not make payments directly to the participating pharmacies. Program members are obligated to pay for 100 percent of the purchase price of all prescription drugs but will receive a discount from participating pharmacies that have contracted with the program. VOID WHERE PROHIBITED BY LAW. The program and its administrators shall have no liability for providing or guaranteeing service by participating pharmacies or for the quality of service rendered by participating pharmacies.

Administered by EnvisionSavings, 3710 Corporex Park Drive, Suite 215, Tampa, FL 33619, 1-877-684-0032.

A program member has the right to cancel membership within the first 30 days after the effective date of the Rx Pay Card and receive a full refund, less a nominal processing fee.