Flint Hills Pharmacy and Hometown Apothecary. Presented By: Melissa Rufenacht Eric Gourley
|
|
- Johnathan O’Neal’
- 6 years ago
- Views:
Transcription
1 Flint Hills Pharmacy and Hometown Apothecary Presented By: Melissa Rufenacht Eric Gourley
2 MISSION STATEMENT.As independent and compounding pharmacies is to fulfill the need for easily accessible health care to the city of Burlington, Kansas and the surrounding rural community. Our goals include providing medications, specialty compounding to community members and veterinaries, durable medical equipment, early detection and treatment of common disease states, and education from caring staff of pharmacists and employees. We are focused on improving our patient s quality of life as well as becoming active and supportive members of our community.
3 LEGAL STRUCTURE OF BUSINESS Independently owned and operated Subchapter S Corporation Two separate entities within corporation Junior Partnership agreement with current owners of Flint Hills Pharmacy
4 LEGAL STRUCTURE OF BUSINESS Benefits of Subchapter S Corporation Avoid double taxation Evade personal liability Allows profit sharing between percentage ownership
5 PRIMARY MANAGEMENT Equally shared ownership of Flint Hills Pharmacy and Hometown Apothecary. Pharmacist in charge of Hometown Apothecary is Melissa Rufenacht, Pharm. D Pharmacist in charge of Flint Hills Pharmacy is Eric Gourley, Pharm. D All services will be performed equally by the pharmacists and staff.
6 INSURANCE Pharmacists Mutual Property General liability Professional liability Employee benefit liability Money and securities and loss of income Personal Health Insurance Blue Cross Blue Shield of Kansas Each entity has own insurance and registration
7 SECURITY MEASURES ADT PremisePro Wireless system Motion sensors and security cameras on all doors and windows Emergency buttons that contact local police Schedule II Controlled Substance Lock Box One ton office safe Local Burlington Police department 24 hour emergency response Meets State Board of Pharmacy guidelines
8 LOCATION ANALYSIS Downtown Burlington, Kansas Corner of 6 th and Main Street Surrounded by other local businesses Plenty of accessible parking Large store front windows for display
9 PRODUCTS AND SERVICES Flint Hills Pharmacy Products Prescription medications OTC medications Health related items Quality gifts and cards One hour photo shop Office supplies Few nonperishable food items Old Fashioned soda fountain and snacks
10 PRODUCTS AND SERVICES Flint Hills Pharmacy Services New Services offered Private patient counseling Medication Therapy Patient record maintenance Management Drug utilization review Immunization clinics Delivery for prescription and Disease state education health care needs Diabetes monitoring 24 hour emergency service Blood pressure checks Nursing home consulting Patient med box filling
11 PRODUCTS AND SERVICES Hometown Apothecary Bioidentical hormone replacement therapy compounds Consult for doctors Patient therapy management Veterinary compounds Specialty non-sterile compounds Pain management compounds Patient specific medications via doctor orders Patient counseling
12 MARKETING AND ADVERTISING Hours of Operation Flint Hills Pharmacy Monday-Friday: 8:00 a.m.-6:00 p.m. Saturday: 8:30 a.m.-1:00 p.m. Hometown Apothecary: Monday-Friday: 8:00 a.m.-6:00 p.m. 24 hour emergency on call prescription service
13 MARKET AND ADVERTISING Target market Entire rural community of Burlington, KS City of Burlington population: 3,280 Only pharmacy in county so surrounding area Burlington County population: 4,876 Aging Baby Boomer population Patients requiring specialty compounding Nursing homes and assisted living facilities Chronically ill patients
14 MARKETING AND ADVERTISING Outcomes Product awareness Compounding exposure Community and school involvement Health professional support Market potential awareness Event Amount Community Sponsoring $3800 Annual Luncheon $2100 Newspaper $1250 Local TV $980 Website $680 Business Cards $185 Promotional Items $320 Other/ Miscellaneous $685 Total $10,000
15 MARKETING AND ADVERTISING Annual Luncheon Informational event for all healthcare professionals in the area Focuses on a specific compounding opportunity Quarterly Newsletters Mailed to all local healthcare professionals Separate letter sent to veterinarians Provides information on our compounding services offered
16 MARKETING AND ADVERTISING Compounding Closest pharmacy is 25 miles away Only compounding pharmacy within 50 miles Mail order pharmacy popularity Still offer competitive prices Accessible and friendly pharmacists and staff Offers 24 hour on call emergency service Medication Therapy Management services Full range service Old fashioned soda fountain
17 PHYSICAL DESCRIPTION OF BUSINESS 9825 sq. ft. Flint Hills Pharmacy Hometown Apothecary
18 PHYSICAL DESCRIPTION OF BUSINESS Flint Hills Pharmacy main floor
19 PHYSICAL DESCRIPTION OF BUSINESS Hometown Apothecary
20 FINANCIAL DOCUMENTS Assets Current Assets Flint Hills Pharmacy and Hometown Apothecary Balance Sheet Cash $275, Accounts Receivable $120, Inventory $243, Total Current Assets $639, Fixed Assets Building $263, Equipment $190, Autos $72, Depreciation allowance -$401, Total Fixed Assets $124, Other Assets Prepaid Expenses $10, TOTAL ASSETS $774, Liabilities and Equity Current Liabilities Accounts Payable $42, Accrued $22, Other liabilities $9, Total Current Liabilities $75, Long term Liabilities Equipment $138, Autos $49, Notes payable $98, Total Long term Liabilities $286, TOTAL LIABILITIES $361, OWNERS EQUITY(Assets-liabilities) $412, Owners Equity $412, Total Assets $774, Total Liabilities $361,983.02
21 PROJECTED SALES/EXPENSES Year Sales Expenses Net Income 2010 $3,905,731 $3,685,436 $220, $4,181,596 $3,907,852 $273, $4,469,403 $4,144,524 $324, $4,771,989 $4,395,245 $376, $5,064,190 $4,660,860 $403, $5,365,346 $4,939,761 $425,585
22 COST AND EXPENSES PER SQUARE FOOT Year Total Profit/ Square ft. Total Expense/ Square ft. Total Revenue/ Square ft $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $43.32 Total square footage of Flint Hills Pharmacy and Hometown Apothecary: 9825 ft 2
23 FINANCIAL DOCUMENTS Hometown Apothecary over Term of Junior Partnership Expenses $225,035 Profit $768,750 Break even Projection Expected number of Prescriptions 7,501 prescriptions 24,375 prescriptions Flint Hills Pharmacy amortization data After junior partnership we plan on financing and paying off the pharmacy in 5 years The last payment will be January 1, 2021
24 FINANCIAL DOCUMENTS Inventory Evaluation Computerized inventory control Perpetual control of inventory Calculates reorder point and economic order quantity Generates automatic orders Internet order of Schedule II drugs Year 1 Year 2 Year 3 Inventory Turnover rate Inventory Turn(days)
25 JUNIOR PARTNERSHIP Payment from Junior Partner based on 10% of the total price of the pharmacy at the end of the year which the junior partner only pays 5%. Payments start after the end of the second year End of the 6 th year the Junior Partner owns 50% of the corporation which will then be collateral to purchase the last 50% using a loan from the bank. Beginning 2017 the Junior Partners will make all decisions concerning the corporation.
26 FINANCIAL DOCUMENTS Flint Hills Pharmacy and Hometown Apothecary Income to Owner from Net Profit and Purchase Payments End of 2010 End of 2011 End of 2012 End of 2013 End of 2014 End of 2015 Value of Pharmacy $870, $922, $977, $1,036, $1,098, $1,164, Ownership share to Junior Partners 0% 10% 20% 30% 40% 50% Payment from Junior Partner $0 $46,110 $48,877 $51,809 $54,918 $58,213 Net profit of Pharmacy $220, $273, $324, $376, $403, $425, Owner's Share of Pharmacy 100% 100% 90% 80% 70% 60% Owner's Share of Profit $220, $273, $292, $301, $282, $255, Total $220, $319, $341, $353, $337, $313, Amount made by owner if sold outright: $870,000 Amount made by owner through Junior Partnership: $1,885,433
27 FINANCIAL DOCUMENTS Flint Hills Pharmacy Income from Bonus and Profits and Projected Payments of Junior Partner Year of Transfer agreement Income from Net Profit Income from Annual Bonus Net profit and Annual Bonus of Junior Partner End of Year Payment to current owner 2010 $0.00 $11, $11, $ $0.00 $13, $13, $46,110.00* 2012 $32, $16, $48, $48,877.00** 2013 $76, $18, $95, $51, $122, $20, $142, $54, $172, $21, $193, $58, *Junior Partners need to save $ per month to avoid borrowing. **Junior Partners need to save $12.09 per month to avoid borrowing. Bonus based on 5% of net profit
28 FINANCIAL DOCUMENTS Debt/Equity Ratio Total Liabilities minus Total Assets equals Equity Based on the beginning of 2016 Debt is the total amount of loan to pay for half of the pharmacy Equity is amount of pharmacy owned by Junior Partners which is half Debt/Equity ratio equals 1
29 ACKNOWLEDGMENT John and Glenda Lowdermilk Amber Haag Curtis and Barb Woods Dennis Grauer The Deans of The University of Kansas, School of Pharmacy
30 QUESTIONS???
Investing in the Health of Our Community. Benjamin Guthrie Kara Herko Rachael Mead Ashley Sweaney
Investing in the Health of Our Community Benjamin Guthrie Kara Herko Rachael Mead Ashley Sweaney Mission Statement To offer superior quality healthcare in both services rendered and products dispensed.
More informationMilledge. Drugs S. Milledge Ave. Athens, GA (706) Drugs. Dispensing Quality Healthcare Since Owner: Carlisle C.
M i l l e d g e Drugs 1220 S. Milledge Ave. Athens, GA 30605 (706)-938-9302 Milledge Drugs Dispensing Quality Healthcare Since 1952 Owner: Carlisle C. Dennis 463 Hampton Court Athens, GA 30605 (706)-996-3508
More informationBENCHMARKING REPORT. Sponsored by PCCA
2017 BENCHMARKING REPORT Sponsored by PCCA NCPA Community Pharmacy Start-up Benchmarking Report, Sponsored by PCCA Project Director and Financial Editor Leon Michos, PhD NCPA Health Care Economist Project
More informationFREQUENTLY ASKED QUESTIONS ABOUT THE CVS CAREMARK PRESCRIPTION DRUG PROGRAM
FREQUENTLY ASKED QUESTIONS ABOUT THE CVS CAREMARK PRESCRIPTION DRUG PROGRAM ABBVIE EMPLOYEES WANT TO KNOW 2018 Pharmacy Benefit Changes Q. What is the new prior authorization program? A. Certain brand
More informationGet the most from your prescription benefit
Get the most from your prescription benefit TE Connectivity HealthFund HRA Plan Welcome to Express Scripts What s Inside Your benefit at a glance...2 Your plan s preferred medicines...2 Prior authorization...2
More informationQuestions and Answers. When should I use mail order pharmacy services? What is my co payment for drugs? What is my co payment for preferr
WPDP/Moda Health Pharmacy Program Welcome to your new pharmacy program, offered through the Washington Prescription Drug Program (WPDP) and administered by Moda Health, formerly ODS Health. At Moda Health,
More informationOutpatient Prescription Drug Benefits
Outpatient Prescription Drug Benefits Supplement to Your HMO/POS Evidence of Coverage Summary of Benefits Member Calendar Year Brand Drug Deductible Per Member Applicable to all covered Brand Drugs, including
More informationBlueRx PDP. Link to Specific Guidance Regarding Exceptions and Appeals
BlueRx PDP Conditions and Limitations Potential for Contract Termination Disenrollment Rights and Instructions Exceptions, Prior Authorization, Appeals and Grievances Out-of-Network Coverage Quality Assurance
More information2018 FAQs. Prescription drug program. Frequently Asked Questions from employees
2018 FAQs Prescription drug program Frequently Asked Questions from employees September 2017 Prescription drug program Questions we ve heard our employees ask Here are some commonly asked questions about
More informationPHARMACY BENEFIT MEMBER BOOKLET
PHARMACY BENEFIT MEMBER BOOKLET Printed on: VALUE, QUALITY AND CONFIDENCE Costco Health Solutions Customer Care HOURS: 24 Hours a Day 7 Days a Week (877) 908-6024 (toll-free) TTY 711 MAILING ADDRESS: Costco
More informationBlue Shield of California Life & Health Insurance Company
Blue Shield of California Life & Health Insurance Company Outpatient Prescription Drug Benefit Rider Insurance Certificate Outpatient Prescription Drug Benefit Summary of Benefits Insured Calendar Year
More informationSecurityBlue HMO. Link to Specific Guidance Regarding Exceptions and Appeals
SecurityBlue HMO Conditions and Limitations Potential for Contract Termination Disenrollment Rights and Instructions Exceptions, Prior Authorization, Appeals and Grievances Out-of-Network Coverage Quality
More informationGroup Medicare Plans at a Glance
GROUP MEDICARE PLANS Group Medicare Plans at a Glance for Employer Groups 2015 Toll-free 1-800-851-3379 ext. 8024 TTY: 711 HealthAlliance.org mkt-grpmedplansbro-1014 Coverage You Know and Trust If you
More informationGet the most from your prescription-drug benefit
Get the most from your prescription-drug benefit 2018 Welcome to Express Scripts At Express Scripts, the company chosen by Ohio State Highway Patrol Retirement System to manage your prescription-drug benefit,
More informationGet the most from your
Get the most from your FOREIGN SERVICE BENEFIT PLAN (FSBP) Welcome to Express Scripts What s Inside Your benefit at a glance...2 FSBP s preferred medicines...2 Coverage limits...3 Home delivery overseas...5
More informationPage 1 of 21 Page 1 Purpose of This Survey The Ohio Department of Medicaid (ODM) has engaged Mercer Government Human Services Consulting (Mercer), part of Mercer Health & Benefits LLC, to conduct a survey
More informationwelcome blueshieldca.com/med_formulary University of California Medicare PPO with Prescription Drug
welcome Welcome to the Blue Shield of California Medicare Rx Plan (PDP) an employer group/union-sponsored Medicare Part D plan for eligible retirees. This plan provides you access to enhanced Medicare
More informationYour. Multi-tiered. Prescription Drug Benefit Program. bcnepa.com
Your Multi-tiered Prescription Drug Benefit Program bcnepa.com What you need to know about your multi-tiered prescription drug program A formulary is our list of covered drugs and supplies organized by
More informationPLAN F MEDICARE (PART A) HOSPITAL SERVICES PER BENEFIT PERIOD 2019
PLAN F MEDICARE (PART A) HOSPITAL SERVICES PER BENEFIT PERIOD 2019 * A benefit period begins on the first day you receive service as an inpatient in a hospital and ends after you have been out of the hospital
More informationCalendar Year Medical Deductible Calendar Year Out-of-Pocket Maximum $2,000 per individual / $4,000 per family Lifetime Benefit Maximum
An independent member of the Blue Shield Association Access+HMO Per Admit 20-500 Benefit Summary (For groups of 101 and above) (Uniform Health Plan Benefits and Coverage Matrix) Blue Shield of California
More informationSummary of Benefits. Albemarle Choice HDHP-HSA. (Plan uses KeyCare PPO. providers)
Summary of Benefits Albemarle Choice HDHP-HSA (Plan uses KeyCare PPO providers) Effective October 1, 2018-December 31, 2019 Lumenos HSA-HDHP 478 Albemarle Choice plan 10/1/18-12/31/19 In-Network Services
More informationEMPLOYER GROUP MEDICARE PLANS
EMPLOYER GROUP MEDICARE PLANS 2019 GROUP MEDICARE PLANS 877-917-8489, ext. 28854, TTY: 711 HealthAlliance.org/Group-Medicare The Next Step in Benefit Offerings With the baby boomer population comprising
More informationPLAN F MEDICARE (PART A) HOSPITAL SERVICES PER BENEFIT PERIOD
PLAN F MEDICARE (PART A) HOSPITAL SERVICES PER BENEFIT PERIOD - 2018 * A benefit period begins on the first day you receive service as an inpatient in a hospital and ends after you have been out of the
More informationWellesley College Health Insurance Program Information
Wellesley College Health Insurance Program Information Beginning August 15, 2014 Health Services All Wellesley College students, including Davis Scholars and Exchange students are encouraged to seek services
More informationPLAN F or HIGH DEDUCTIBLE PLAN F MEDICARE (PART A) HOSPITAL SERVICES PER BENEFIT PERIOD
SERVICES DS-GRMSP10(46) Page 1 MEDICARE PAYS AFTER YOU PAY $2240 PLAN PAYS HOSPITALIZATION * Semiprivate room and board, general nursing and miscellaneous services and supplies First 60 days All but $1340
More informationTHE FOLLOWING SCREENS REQUIRE YOUR INPUT.
EMPLOYEE ONLINE Employee Online is a computer application available to all County Employees to be used as a tool for accessing their personal payroll information. You will need to know your Employee Number
More informationMoving from Pediatric to Adult Care: Prescription Medicines, Supplies, and Equipment
Moving from Pediatric to Adult Care: Prescription Medicines, Supplies, and Equipment To take care of your own health, you need to know how to fill prescriptions. Most prescriptions for medicines can be
More informationStevens Institute of technology
Get the most from your prescription benefit Stevens Institute of technology At Express Scripts, the company chosen by Stevens Institute of Technology to manage your prescription benefit, your health is
More informationWe re happy you ve chosen a BlueMedicare Preferred HMO plan for your health care needs.
Dear Valued Member, We re happy you ve chosen a BlueMedicare Preferred HMO plan for your health care needs. We ve enclosed your BlueMedicare Preferred HMO Owner s Manual. This helpful guide explains how
More informationREINSTATEMENT OF COVERAGE
SUMMARY of MATERIAL MODIFICATION AMENDMENT # 1 to the NATIONAL FRANCHISEE ASSOCIATION HEALTH + MEDICAL PLAN The is hereby amended, effective 05/01/15. This amendment affects all claims for services incurred
More informationManage your Prescriptions Online Through the Express Scripts Pharmacy
Manage your Prescriptions Online Through the Express Scripts Pharmacy www.express-scripts.com Customer service specialists are also available 24 hours a day/7 days a week at 1-800-711-0917. Get a 90-day
More informationsummary of benefits Blue Shield of California Medicare Rx Plan (PDP)
summary of benefits Blue Shield of California Medicare Rx Plan (PDP) An employer-sponsored Medicare Prescription Drug Plan for City and County of San Francisco retirees, spouses and eligible dependents
More informationCITY OF JONESBORO. PPO $600 Deductible
CITY OF JONESBORO PPO $600 Deductible CITY OF JONESBORO Effective Date: 01/01/2019 Arkansas Blue Cross and Blue Shield is pleased to be your health insurance provider. For more than 65 years, Arkansas
More informationIntroducing the benefits of the HDHP. Get the most out of the High Deductible Health Plan
Introducing the benefits of the HDHP Get the most out of the High Deductible Health Plan HDHP Comparing the HDHP to Lehigh s other health plan offerings. There are many similarities between the HDHP and
More informationFull PPO Combined Deductible /60 Benefit Summary (For groups of 101 and above) (Uniform Health Plan Benefits and Coverage Matrix)
An independent member of the Blue Shield Association Full PPO Combined Deductible 25-250 90/60 Benefit Summary (For groups of 101 and above) (Uniform Health Plan Benefits and Coverage Matrix) Blue Shield
More informationPatient Information. Financial Handbook For Liver Transplant Patients
Patient Information Financial Handbook For Liver Transplant Patients Beaumont Transplant Clinic Directory Beaumont Hospital, Royal Oak Medical Office Building 3535 West 13 Mile Road, Suite 644 Royal Oak,
More informationArkansas State University System Prescription Drug Program
Arkansas State University System Prescription Drug Program The Arkansas State University (ASU) prescription drug program involves a partnership with the University of Arkansas for Medical Sciences (UAMS)
More informationMedical Benefits Trust
UAW RETIREE Medical Benefits Trust Dear UAW Trust Member, HEALTH CARE BENEFIT HIGHLIGHTS 2018 At the UAW Retiree Medical Benefits Trust (the Trust ), we recognize how important health care benefits are
More informationThanksgiving Day and Christmas. Bereavement Leave RAMC 30 calendar days after employment (must be scheduled to receive days)
2018 Benefits Summary At-a-Glance Benefit Paid By Eligibility Benefit Description Paid Time Off Benefit Hours RAMC As accrued Traditional vacation, holiday and sick time. Holidays recognized: New Years,
More informationUser s Guide to Key Terms DEFINITIONS OF TOP HEALTH INSURANCE TERMS
User s Guide to Key Terms DEFINITIONS OF TOP HEALTH INSURANCE TERMS plan formulary The plan formulary is the list of drugs that are covered by your health plan. Your health plan will pay all or part of
More informationMESSA Saver Rx PRESCRIPTION DRUG RIDER BOOKLET
MESSA Saver Rx PRESCRIPTION DRUG RIDER BOOKLET MESSA Saver Rx Prescription Drug Program The MESSA Saver Rx Prescription Drug Program is made available by a Group Operating Agreement between MESSA and Blue
More informationGlossary of Terms. Adjudication: The way a health plan decides how much it will pay for certain expenses.
Page 1 Glossary of Terms Adjudication: The way a health plan decides how much it will pay for certain expenses. Affordable Care Act (ACA): The comprehensive health care reform law enacted in March 2010.
More informationPharmaceutical Management Community Plans 2018
Pharmaceutical Management Community Plans 2018 Customer Service: (888) 327-0671 TTY: 711 Pharmacy Administration: (810) 244-1660 Introduction Pharmaceutical management promotes the use of the most clinically
More informationAPPLICATION FOR PHARMACY PROFESSIONAL LIABILITY INSURANCE
APPLICATION FOR PHARMACY PROFESSIONAL LIABILITY INSURANCE (Claims Made Basis) APPLICANT S INSTRUCTIONS: 1. Answer all questions. If the answer requires detail, please attach a separate sheet. 2. Application
More informationRegence Bridge. Medicare Supplement (Medigap) Plans
OUTLINE OF COVERAGE Regence Bridge Medicare Supplement (Medigap) Plans Regence BlueShield serves select counties in the state of Washington and is an Independent Licensee of the Blue Cross and Blue Shield
More informationWesco Aircraft Hardware Corp Effective January 1, 2018 HMO Benefit Plan Wesco Aircraft Custom Access+ HMO Facility Deductible 25-20%/200
Blue Shield of California is an independent member of the Blue Shield Association Summary of Benefits Wesco Aircraft Hardware Corp Effective January 1, 2018 HMO Benefit Plan Wesco Aircraft Custom Access+
More informationSummary of Benefits Access+HMO Zero Admit 20
Blue Shield of California is an independent member of the Blue Shield Association Summary of Benefits Access+HMO Zero Admit 20 Group Plan HMO Benefit Plan This Summary of Benefits shows the amount you
More information2019 Pre-Medicare Retiree Healthcare Open Enrollment
2019 Pre-Medicare Retiree Healthcare Open Enrollment CHANGES ONLY ENROLLMENT Submit Enrollment Changes Before November 21 You MUST complete and submit the enclosed enrollment form by November 21 if you
More informationShield Spectrum PPO Plan 1000 Value
Shield Spectrum PPO Plan 1000 Value Benefit Summary (For groups 2 to 50) (Uniform Health Plan Benefits and Coverage Matrix) Blue Shield of California Life & Health Insurance Company Effective January 1,
More informationProvides medical care and percentage of income for work related illness/injury.
Benefits Summary At-a-Glance Benefit Paid By Eligibility Benefit Description Paid Time Off Benefit Hours RAMC As accrued Traditional vacation, holiday and sick time. Holidays recognized (60 hours per year):
More informationGetting Started With Hometown Health
1 Getting Started With Hometown Health Know Your Benefits In-network- Health care providers that have contracted with your insurance company to accept certain negotiated (i.e., discounted) rates. Out-of-Network-
More informationBenefit modifications for members with Full PPO /60
An independent licensee of the Blue Shield Association A17436 (01/2017) Benefit modifications for members with Full PPO 250 80/60 Effective January 1, 2017 The Full PPO 250 80/60 plan name will be changed
More informationSummary of Benefits City of Santa Monica Custom Trio HMO Per Admit
Summary of Benefits City of Santa Monica Custom Trio HMO Per Admit 20-100 City of Santa Monica Effective January 1, 2019 HMO Benefit Plan This Summary of Benefits shows the amount you will pay for Covered
More informationBREMEN PUBLIC SCHOOLS HEALTH AND WELLNESS PROGRAMS OCTOBER 19, 2017
BREMEN PUBLIC SCHOOLS HEALTH AND WELLNESS PROGRAMS OCTOBER 19, 2017 ENROLLMENT OPPORTUNITIES 1. Hire Date A new hire has 31 days from the first working day to enroll. 2. Open Enrollment All full-time employees
More informationBlue Essentials, Blue Advantage HMO SM and Blue Premier SM Provider Manual - Pharmacy
Blue Essentials, Blue Advantage HMO SM and Blue Premier SM Provider Manual - In this Section there are references unique to Blue Essentials, Blue Advantage HMO and Blue Premier. These network specific
More informationMCPHS University Health Insurance Program Information
MCPHS University Health Insurance Program Information Beginning September 1, 2015 Health Services MCPHS University students on the Boston campus have access to the Massachusetts College of Art and Design
More informationand cardiac diagnostic procedures utilizing nuclear medicine) Bariatric surgery Not Covered Not Covered
An independent member of the Blue Shield Association Wesco Aircraft ASO PPO Benefit Summary (For groups of 300 and above) (Uniform Health Plan Benefits and Coverage Matrix) Blue Shield of California Effective:
More informationGetting started with Medicare.
Getting started with Medicare. Look inside to: Learn about Medicare Compare plans and choose the right one for you See if you qualify for financial help Learn how to enroll in Medicare if you plan on working
More informationHighlights of the Group Retiree Medical Plan for Schools Insurance Group Retirees
Highlights of the Group Retiree Medical Plan for Schools Insurance Group Retirees The Hartford offers Group Retiree Insurance Plans for Medicare-eligible retirees over 65 years of age. The plan helps pay
More informationFarm Bureau Essential Rx 2018 Summary of Benefits January 1, December 31, 2018
Farm Bureau Health Plans P.O. Box 266380 Weston, FL 33326 Farm Bureau Essential Rx 2018 Summary of Benefits January 1, 2018 - December 31, 2018 Thank you for your interest in Farm Bureau Essential Rx.
More informationSummary of Benefits. Regence Medicare Script TM. Enhanced (PDP) Basic (PDP) Medicare Prescription Drug Plan for Utah
2013 Summary of Benefits Medicare Prescription Drug Plan for Utah Regence Medicare Script TM Enhanced (PDP) Regence Medicare Script TM Basic (PDP) Regence BlueCross BlueShield of Utah is an Independent
More informationHighlights of the Group Medicare Prescription Drug Plan. Administrative Services from Group Administrative Concepts
Highlights of the Group Retiree Medical Plan for Schools Insurance Group Retirees The Hartford offers Group Retiree Insurance Plans for Medicare-eligible retirees over 65 years of age. The plan helps pay
More informationOVERVIEW PROCESS SERVICES HARVONI. Simply on Your Side. Please see full Prescribing Information, including Patient Information.
HARVONI Simply on Your Side. OVERVIEW PROCESS SERVICES A breakthrough treatment with exceptional support Living with hepatitis C (Hep C) can come with a lot of uncertainty. But getting started with Hep
More informationUNITEDHEALTHCARE HEALTH SAVINGS ACCOUNT PLAN 2015 BENEFITS SUMMARY
UNITEDHEALTHCARE HEALTH SAVINGS ACCOUNT PLAN 2015 BENEFITS SUMMARY Member Service: 1-800-253-2108 To obtain list of providers New Participants: Web Site: http://welcometouhc.com/nyt Enrolled Participants:
More informationPrimary Choice Plan Premium Three-Tier
Primary Choice Plan Premium Three-Tier This brochure is a legal document that explains the prescription drug benefits provided by the Group Insurance Commission (GIC) to their Members on a self-insured
More informationInnovative Strategies for Managing the Rising Cost of Specialty Drugs
Innovative Strategies for Managing the Rising Cost of Specialty Drugs Mid-sized Retirement and Healthcare Plan Management Conference Chicago, IL June 5, 2013 Managing the Rising Cost of Specialty Drugs
More informationMember Services
Member Services 1-800-589-4811 Plan Facts Hours of Operation Website Name of Physician Network Minute Clinic Decision Support Tools 8:00 a.m. to 6:00 p.m. Local Time Monday Friday www.aetna.com Aetna Choice
More informationMedicare Advantage HMO plans
2018 Medicare Advantage HMO plans Promise Rx (HMO-POS) Surety Rx (HMO-POS) Medicare coverage that works with and for you Y0117_MC-778-2822-C-10-17 approved Why choose a plan from Security Health Plan?
More informationTHE OHIO DEPARTMENT OF MEDICAID
HEALTH WEALTH CAREER THE OHIO DEPARTMENT OF MEDICAID PHARMACY STAKEHOLDER ENGAGEMENT MEETING September 13, 2016 Presenter Scott Banken, Mercer WHY WHO HOW The ODM is conducting a Professional Dispensing
More informationWelcome to the Medicare Options US Retiree Benefit Plans
Welcome to the Medicare Options US Retiree Benefit Plans This booklet includes summaries of the benefits covered under the Medicare Options US Retiree Plan for retirees their spouses and surviving spouses
More informationYour Prescription Drug Benefit Handbook
Your Prescription Drug Benefit Handbook Welcome! We're proud that your health plan has chosen Medco to manage your prescription drug benefit for retail and mail-order services. You're now with the industry
More informationMedicare Basics North Carolina Department of Insurance Mike Causey, Commissioner
Medicare Basics Seniors Health Insurance Information Program North Carolina Department of Insurance Mike Causey, Commissioner 855-408-1212 www.ncshiip.com What is SHIIP? Seniors Health Insurance Information
More informationSummary of Benefits. Custom PPO Combined Deductible /60. City of Reedley Effective January 1, 2018 PPO Benefit Plan
Blue Shield of California is an independent member of the Blue Shield Association Summary of Benefits Custom PPO Combined Deductible 35-500 80/60 City of Reedley Effective January 1, 2018 PPO Benefit Plan
More informationEVIDENCE OF COVERAGE:
EVIDENCE OF COVERAGE: Your Medicare Prescription Drug Coverage as a Member of Medi-Pak Rx Premier January 1 December 31, 2008. This booklet gives the details about your Medicare prescription drug coverage
More informationSummary of Benefits Custom HMO Zero Admit 10
Summary of Benefits Custom HMO Zero Admit 10 City of Delano Effective July 1, 2019 HMO Benefit Plan This Summary of Benefits shows the amount you will pay for Covered Services under this Blue Shield of
More informationContents General Information General Information
Contents General Information... 1 Preferred Drug List... 2 Pharmacies... 3 Prescriptions... 4 Generic and Preferred Drugs... 5 Express Scripts Website and Mobile App... 5 Specialty Medicines... 5 Prior
More informationThe Secure Horizons. For Secure Horizons Medicare+Choice Plan Members. Member Handbook
The Secure Horizons Discount Drug Program For Secure Horizons Medicare+Choice Plan Members Member Handbook Secure Horizons Discount Drug Program is an exclusive provider of the Medicareapproved drug discount
More informationMedex 3 Plan 2013 Summary of Benefits with 3-Tier Prescription Drug Coverage: $5/$10/$25
Medex 3 Plan 2013 Summary of Benefits with 3-Tier Prescription Drug Coverage: $5/$10/$25 This Medex plan provides benefits for the: Medicare Part A Deductible and Co-insurances Medicare Part B Deductible
More informationWilceCare Supplement Plan Outline
WilceCare Supplement Plan Outline 2015-2016 Plan Year Student Health Insurance Retain this summary for reference. 1 TABLE OF CONTENTS INTRODUCTION 3 ELIGIBILITY PROVISIONS 4 ENROLLMENT AND FEE PAYMENT
More informationUSING YOUR INSURANCE. International Student Insurance Plan. SURPLUS Revised June 27, :41 PM
2017 2018 USING YOUR INSURANCE International Student Insurance Plan SURPLUS Revised June 27, 2017 12:41 PM Your Insurance ID Card You will receive an email from GeoBlue at the start of each semester/ term
More informationYour prescription drug plan
Your prescription drug plan Your Prescription Drug 15-30-60 or 20% with $150 Deductible Plan Up to a 30-day medication supply at participating retail pharmacies Up to a 90-day medication supply delivered
More informationInside this Benefits Summary: Medical
BENEFITS SUMMARY Aetna Affordable Health Choices insurance plan Plan design and benefits provided by Aetna Life Insurance Company (Aetna) and administered by Strategic Resource Company (SRC). Unless otherwise
More informationFarm Bureau Select Rx 2017 Summary of Benefits January 1, December 31, 2017
P.O. Box 266380 Weston, FL 33326 Farm Bureau Select Rx 2017 Summary of Benefits January 1, 2017 - December 31, 2017 Thank you for your interest in Farm Bureau Select Rx, Our plan is offered by Members
More informationPrescription Drug Benefits
Stryker s healthcare plan provides benefits for covered prescription drugs, including contraceptives, insulin and diabetic supplies. Benefits are paid for covered drugs that are medically necessary for
More informationSpecial Care SM. Helping lower-income individuals and families afford health care benefits. A Guaranteed Issue Health Insurance Plan for Individuals
Special Care SM A Guaranteed Issue Health Insurance Plan for Individuals Helping lower-income individuals and families afford health care benefits Basic hospitalization issued by Capital BlueCross; medical
More informationUC SHIP Premium Formulary. Effective September 1, 2016
UC SHIP Premium Formulary Effective September 1, 2016 Formulary A formulary identifies the drugs available for certain conditions and organizes them into cost levels, also known as tiers. An important
More information10.1 Summary Prescription drug coverage for you and your eligible Dependents Three-tier Copayment plan Retail and maintenance programs
10.1 Summary Prescription drug coverage for you and your eligible Dependents Three-tier Copayment plan Retail and maintenance programs Through the Prescription Drug Plan, you and your eligible Dependents
More informationValue Three-Tier EFFECTIVE DATE: 01/01/2016 FORM #1779_03
Value Three-Tier This brochure is a legal document that explains the prescription drug benefits provided by Harvard Pilgrim Health Care, Inc. (HPHC) to Members with plans that include outpatient pharmacy
More informationEffective: July 1, Highlights: A description of the prescription drug coverage is provided separately. Participating Providers 1
High Desert & Inland Trust Custom PPO 3 Benefit Summary (For groups of 300 and above) (Uniform Health Plan Benefits and Coverage Matrix) Blue Shield of California Effective: July 1, 2016 THIS MATRIX IS
More informationAnnual Notice of Changes
Annual Notice of Changes Utah Davis, Salt Lake, Utah and Weber Healthy Advantage Plus (HMO) (877) 644-0344, TTY/TDD 711 7 days a week, 8 a.m. 8 p.m. local time HealthyAdvantagePlus.org 2018 H5628_18_1127_0007_HPAE2
More informationA B C D F F* G K L M N. Basic, including 100% Part B coinsurance. Basic, including 100% Part B coinsurance
Independence Blue Cross and Highmark Blue Shield Outline of Medicare Supplement Coverage MedigapSecurity Plans A, B, and C Benefit Chart of Medicare Supplement Plans sold on or After June 1, 2010 This
More informationSAVINGS GUARANTEED FEEL BETTER. This Program is NOT Insurance. Membership
FEEL BETTER GUARANTEED SAVINGS This Program is NOT Insurance. Membership fee required ($20 individual or $35 family per year). Persons receiving benefits from Medicare, Medicaid or other government-funded
More informationRegence HDHP-1 with Alternative Care Coverage Period: 01/01/ /31/2017
Regence HDHP-1 with Alternative Care Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage Period: 01/01/2017-12/31/2017 Coverage for: Individual & Eligible Family Plan Type:
More informationFocus. Your health care plan is changing you must take action. Annual Enrollment for Annual Enrollment is October 24 November 18.
Focus Annual Enrollment for 2012 Annual Enrollment is October 24 November 18. Your health care plan is changing you must take action. During Annual Enrollment, you must make an election to choose a new
More informationMedicare PPO Blue (PPO)
Benefits Overview 2016 Drug Copayments $10 $20 $35 Medicare PPO Blue (PPO) Medicare PPO Blue (PPO) is a Medicare Advantage plan from Blue Cross and Blue Shield of Massachusetts HMO Blue, Inc. Blue Cross
More informationSPD Prescription Drugs Plan
Prescription Drugs Plan 08/01/2017 3-1 Your Prescription Drug Benefits The prescription drug benefit available to you is based on the medical plan in which you are enrolled. Regardless of the benefit design
More informationImportant Questions Answers Why this Matters: For in-network providers Deductible is not applicable innetwork
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.anthem.com or by calling 1-800-922-6621. Important Questions
More informationSummary Plan Description Accenture Prescription Drug Plan
Summary Plan Description Accenture Prescription Drug Plan Effective January 1, 2018 Group Number: ACCRXS1 TABLE OF CONTENTS SECTION 1 - WELCOME... 1 SECTION 2 PLAN HIGHLIGHTS... 3 SECTION 3 - ADDITIONAL
More informationThe State of New Mexico Group Benefits Plan Plan Year: January December 2018 Prescription Drug Program
The State of New Mexico Group Benefits Plan Plan Year: January December 2018 Prescription Drug Program 1 Who Is Express Scripts? Express Scripts administers your prescription drug benefit and you automatically
More information2019 MEDICAL PLAN SUMMARY Arlington County Government/AmWINS Medicare Plan
Out of Pocket Maximum: $1,500 Lifetime Maximum: Unlimited MEDICARE (PART A) HOSPITAL SERVICES PER BENEFIT PERIOD HOSPITALIZATION * Semiprivate room and board, general nursing, and miscellaneous services
More information