Prescription coverage

Tools to help you find and compare prescription drugs and benefits

Compare prescription drug benefits and costs

If your medication is covered, you can use our online tool  Express Scripts to compare prescription drug benefits across different plans. You also can compare plan options against current medication costs to choose the plan that best meets your needs. To use Express Scripts and see if your medication is covered, select your plan type below:

HAP Senior Plus Option 1 (PPO) 
HAP Senior Plus Option 2 (PPO) 
HAP Senior Plus Option 3 (PPO) 
HAP Senior Plus Option 4 (PPO) 
HAP Senior Plus (HMO)
HAP Senior Plus Henry Ford Tiered Access (HMO)
HAP Senior Plus Option 1 (HMO-POS)
HAP Senior Plus Option 2 (HMO-POS) 
HAP Senior Plus Option 3 (HMO-POS)
HAP Primary Choice (HMO) 
HAP Empowered Duals (HMO SNP)

 

Will my medication be covered?

If you’re shopping for a Medicare plan, you’re probably wondering if it covers your prescription medication. The easiest way to tell if your medication is covered is to download the 2019 HAP Medicare formulary (PDF). Press Ctrl+F (Command+F for Mac) and type in the name of the drug to see whether it’s included in the covered drug list for your type of plan. The drug name will be highlighted.

Our HAP Empowered Duals plan has different coverage. Download the 2019 HAP Empowered Duals Formulary (PDF) to see if your medication is covered.

 

2018 Plans

If you’re a member or shopping for a 2018 plan, you can use our online tool Destination RX until 12/31/18 to compare prescription drug benefits across different plans. You also can compare plan options against current medication costs to choose the plan that best meets your needs.

Pick a plan and provide your ZIP code and medications. The tool does the rest. You’ll be able to see premium costs, deductibles, initial costs and what you might pay during a coverage gap period. You’ll also be able to see the cost of your drug at different pharmacies.

 

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To be covered by the plan, you must have your prescriptions filled at either plan retail pharmacies or our mail-order pharmacies. In some cases, prescriptions filled at a non-plan pharmacy may also be covered.

For certain prescription drugs, we have additional requirements for coverage or limits on our coverage. These requirements and limits are described in the Evidence of Coverage for each plan.

The formulary may change at any time. You will receive notice when necessary.

Copyright © 2018 HAP
2018 Health Alliance Plan of Michigan
Y0076_2019 HAP Website
CMS Accepted 10/1/2018

HAP Senior Plus (HMO)/(HMO-POS)/(PPO) and HAP Primary Choice Medicare (HMO) are health plans with Medicare contracts. HAP Empowered Duals (HMO SNP) is a Medicare health plan with a Medicare contract and a contract with the Michigan Medicaid Program. Enrollment in the plans depends on contract renewals. HAP Senior Plus (PPO) is a product of Alliance Health and Life Insurance company, a wholly owned subsidiary of HAP.

This information is not a complete description of benefits. For more information call (800) 868-9885 (TTY: 711) 8 a.m. to 8 p.m., seven days a week (Oct. 1 – March 31) / 8 a.m. to 8 p.m., Monday through Friday (April 1 - Sept. 30).

  • HAP Medicare Sales:

    (800) 868-9885 (TTY: 711)

  • (800) 868-3153 (TTY: 711)

    HAP Senior Plus®

    (800) 801-1770 (TTY: 711)

  • HAP Senior Plus®(PPO)

    (888) 658-2536 (TTY: 711)

  • Alliance Medicare Supplement:

    (800) 873-7526 (TTY: 711)