If your organization has added FormuCARE to your benefits plan, you will need to let your plan members know about this change. Plan members with specialty drugs will need to know what options are available to them, and be introduced to Coverage Navigation Services. With FormuCARE, your employee benefits plan will not reimburse them for specialty drugs costing more than $10,000 per year.
GroupHEALTH supports Paper Free communications: comprehensive information for plan members about FormuCARE is available online, in print-friendly format, at grouphealth.ca/member/formucare.
LETTING YOUR PLAN MEMBERS KNOW ABOUT THIS CHANGE
By copying and pasting the following wording in an email to your plan members, you can let them know about this change, and give them direct access to online information about FormuCARE.
CUT AND PASTE THE FOLLOWING WORDING TO SEND TO YOUR PLAN MEMBERS
EMAIL SUBJECT:
An Important Change To Your Employee Benefits Plan
EMAIL BODY:
I wanted to let you know that your employee benefit plan now includes FormuCARE.
Specialty medications that have a potential annual cost of $10,000 a year or more can have an enormous impact on the cost of your employee benefits plan. Your employee drug plan covers the cost of commonly prescribed medications or lower-cost specialty medications (up to the limits in your benefit booklet) but does not cover high-cost specialty medications (this arrangement is known as FormuCARE).
Instead, your plan includes a service that will help you find alternative coverage options for high-cost specialty medications.
To read more about FormuCARE, specialty medications, and what you need to do, go to grouphealth.ca/member/formucare.
If you have any questions about this change, please contact me directly.