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New Pharmacy Benefit Offers Members Seamless Savings

Mar 16, 2023
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As rising prices for everything from gasoline to eggs continue to squeeze household budgets, families might feel even more pressure when it comes to paying for prescriptions.

About 30 percent of Americans recently surveyed said they have skipped or cut doses for prescribed medications—or substituted an over-the-counter drug without telling their doctor—because of the cost, according to a 2022 Kaiser Family Foundation poll.

Community Health Options may be able to ease some of that financial pressure with a new prescription program  that could save Members money at the pharmacy counter.

Price Assure, offered through Community Health Options’ pharmacy benefit manager, Express Scripts®, helps Members reap any potential savings on generic medications when they fill prescriptions at an in-network retail pharmacy. Price Assure is a collaboration with GoodRx, a digital platform that provides access to lower prices for brand and generic medications.

This means Members automatically save on generic medications when they take their prescriptions to in-network pharmacies that also accept GoodRx. So, when GoodRx offers a lower price,  that’s what Members pay. Because it’s processed through Express Scripts, the prescription automatically processes with the savings, while applying the cost to the Member’s deductible, accumulator and out-of-pocket costs—all without having to sign up for a separate GoodRx card*.

To find an in-network pharmacy, Members can go to the Medications tab of their Member Portal dashboard on the Community Health Options website. Members will need to confirm that the pharmacy accepts GoodRx. If you have questions about the Price Assure program, please call our Maine-based Member Services team at (855) 624-6463 from 8 a.m. to 6 p.m., Monday through Friday.

 

*While Price Assure provides access to discounted pricing on some generic medications, Members could see lower prices listed on GoodRx’s website and app for those who sign up for GoodRx’s discount programs. However, those using a GoodRx card outside of the pharmacy plan should be aware that they’ll miss medication safety checks and will need to submit a prescription reimbursement form to have the expense applied to their accumulators.

SEE ALSO

There is never a bad time to start a good new habit. And as we enter another year with the pandemic continuing to cause disruptions and uncertainty in our lives, this is an excellent time to use Healthwise resources to learn about some easy and useful self-care habits.

Whether you unwind at the spa or on the golf course, self-care can mean many things to many people (that’s pretty much where the term comes from). We want to discuss and link to three easy, free care practices you can apply to your daily life to reduce stress and clear your mind. These practices do not require any special equipment or classes; you don’t need a therapist to do them, and they are quick enough to try almost any time you need.

 

1) The first stress reducer is Mindfulness-Based Stress Reduction (MBSR) which can help you calm your mind and better cope with illness, pain, and stress. “Mindfulness" means reminding yourself to focus only on things happening in the present moment. Healthwise advises going outside and taking a few deep breaths. How does the air feel? Warm or cold? Try to accept that feeling and not resist it. What else do you notice around you? Or, take a slow walk by yourself. Count your steps while you breathe in and out.

It sounds simple, and it is. However, like any habit, it will take a couple of months to really make it stick. For more tips on mindfulness, search “MBSR” on the Healthwise search bar.

 

2) A second way to “train your brain” into a calmer state is to use guided imagery, a practice of using directed thoughts and suggestions to guide your imagination toward a relaxed, focused state. Athletes use guided imagery to imagine a race or a game before they are in it, and the same steps can be used to prepare for a big meeting or public speaking. Other methods involve imagining watching wax soften and melt or a tight piece of rope unraveling. Healthwise has videos and lists to help you through this process. Check out more tips by searching "guided imagery" at Healthwise. 

 

3) For a way to connect your mind and body for clear thinking and better sleep, try progressive muscle relaxation.

Healthwise notes, “The body responds to stress with muscle tension, which can cause pain or discomfort. In turn, tense muscles relay to the body that it's stressed, which keeps the stress–muscle-tension cycle going.” Progressive muscle relaxation helps break this cycle, creating body-mind awareness and calm. Healthwise has recordings to guide you through all the muscle groups, or you can learn the order of muscle groups and work through them from memory. To get started, choose a place where you can lie down on your back and stretch out comfortably. You can begin working through the muscle groups by clenching your hands and releasing them. Next, according to Healthwise, you tense each muscle group (hard but not to the point of cramping) for 4-10 seconds, exhaling and relaxing each muscle group quickly.

 

For more pointers, Healthwise has more articles, videos, and lists (search progressive muscle relaxation) to help you through this process. And if these three de-stressors aren’t your cup of tea, use the Healthwise search bar to do more exploring.