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	Express Scripts Pharmacy Benefit Card
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The NEA MemberCare Medicare Supplement Pharmacy Benefit Card
(Only available for members in a Plan Option H, I or J that includes prescription benefits.)

This new pharmacy service provides easy access to discounted prescription drugs...
and no claim forms are required!

Here are the advantages of this Pharmacy Benefit Card

• It's a simple way to use your Medicare Supplement prescription benefit
• Go to any of 56,000 retail drug stores or order by phone, by mail or online
• Receive negotiated discounts
• No paperwork, no claims to submit
• Pay only your portion of the cost
• No waiting for you 50% reimbursement on prescription drugs
• No added cost or shipping charges for home delivery when using mail order
• FDA-approved drugs
• Includes processing for V.A. drug claims (click here for more information)
• All this at no additional cost to you!

Using the Pharmacy Benefit Card is easy
When you purchase your medication from a network provider, you pay just 50%, up to your benefit maximum, after you've met your $250 deductible. There are no claim forms to complete.

You can have your prescription filled at a participating retail store or online
You can also place orders by phone or mail. No matter how you do it, you pay 50 % of the drug cost after your deductible and the NEA Members Insurance Trust pays the balance through your Pharmacy Benefit Card.

Plan Benefits
The benefit maximum available to cover your prescription drug purchases is ruled by the plan benefits for the plan in which you are enrolled: Plan H, Plan I, or Plan J. For plan benefits, click here. You have one $250 deductible to meet each calendar year. This and your benefit maximum will be tracked automatically for you and you'll know immediately when you've met it. And even after you've reached your benefit maximum, you'll still receive discounts on your prescription drugs when you use your Pharmacy Benefit Card!

Non-Participating Providers
If you cannot find a provider in your area, and do not wish to use the mail order service, or if you have purchased prescription medicine outside the USA, your claim will still need to be processed by Express Scripts to receive your benefit under Plan Option H, I or J.

Be sure to include the following information so your claim will not be delayed:

1. An Express Scripts claim form
2. Receipts showing the date dispensed
3. The Rx number
4. The quantity of medicine purchased
5. The number of days' supply
6. The amount paid
7. Paid in US dollars, paid in Canadian dollars, paid in “Euros”, etc
8. Your signature