Prescription Benefit Management
Prescription Drug Card Program — Implementation Services

Enrollment Support

Enrollment Support

Upon completion of a client’s plan design, Universal Rx develops a Members Communication Packet providing comprehensive, customized materials.

There are five (5) pieces that make up this packet:


  1. Benefit Outline:
    The Benefit Outline is a reference guide providing a detailed description of retail, mail order, and any other optional benefits such as the diabetes management program and Expatriate Prescription Services benefits. This includes co-payments, dispensing limitations and covered/non-covered therapeutic categories.
    2. Enrollment Session
  2. DrugSource’s Mail Order Pharmacy Brochure and Enrollment Form:
    This is a brochure specifically designed by DrugSource and provides information pertaining to the mail order program. This brochure also provides information on how to enroll and reorder.
  3. Diabetes Management Program Brochure and Enrollment Form:
    This brochure is specifically designed by Liberty Medical providing Universal Rx plan members with information pertaining to the diabetes management program. This brochure provides a toll free telephone number which has been designated solely for Universal Rx plan members to call. This designated line is answered by a team of specialized representatives who manage all aspects of enrollment, ordering and reordering for Universal Rx plan members only.
  4. Formulary List:
    The Formulary List is provided as a reference guide and quick indicator outlining which tier medications fall into. This educates and informs plan members as to what their co-payment will be before they go to the pharmacy.
  5. Expatriate Prescription Services Member Brochure and Order Form:
    The EPS Member Brochure is designed to provide information on how the program works. It also clearly outlines how to enroll into the program and place orders. The EPS Order Form is customized specifically to each client's plan design so plan members can reference plan specific information if necessary.

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Enrollment Resources

Enrollment Meeting

Based on the plan members’ locations, Universal Rx utilizes several different resources to provide member enrollment information for our Clients about their prescription benefits.


On-Site Meetings

Universal Rx will provide a dedicated implementation team to to provide support and conduct enrollment meetings for our Clients annd their plan members as needed.


Continual Availability

Even after open enrollment has occurred, Universal Rx continues to visit our Clients numerous times throughout the year to assist with other ongoing enrollment processes and to review the comprehensive reporting packages provided.


Stateside Plan Members

If plan members are stateside, packets are provided via mail, email and through the client’s website.


Overseas Plan Members

If plan members currently reside overseas, Universal Rx distributes the Member Material Packets and enrollment information either directly by mail or indirectly with the assistance of the benefits coordinators at our Clients' regional offices.

In circumstances in which Plan members are overseas and cannot receive mail or visit their Regional Office, Universal Rx offers electronic versions of all plan design and enrollment forms which can be provided via e-mail.


Website

Universal Rx offers a great deal of information in the Member Services section of our website.


Eligibility

As a standard practice, a full electronic eligibility file (comprehensive of all plan members) is submitted to Universal Rx via secured e-mail once a week (every Tuesday) . This file automatically updates the eligibility within the system, adds new members, terminates members, and/or makes any necessary eligibility changes. The frequency of updates may be increased to up to once per day depending upon our Clients' needs.

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