HDHP Pharmacy Benefits Summary
YOUR PHARMACY BENEFITS
Welcome to Navitus
We understand that access to affordable medications can be life-changing — and lifesaving. Our mission is to help members like you get the medications you need.
Once your pharmacy benefits are active, here’s how you can make the most of them:
Provide your prescription card when you fill a medication.
This will ensure that your pharmacy benefits are processed seamlessly.
Use our member portal to access your benefits.
Find the nearest network pharmacies, cost of your medications, access your digital ID card, review plan details such as deductibles and out-of-pocket maximums and more. To get started, go to memberportal.navitus.com.
Still have questions?
As a Navitus member, you have peace of mind knowing that we are here to support your health journey. Our dedicated Customer Care team can help if you have questions about your pharmacy benefits. They will work to resolve any concerns quickly and can be reached at the number on the back page.
Saving Money on Your Prescriptions
One of the best ways to lower your prescription expenses is by choosing generic drugs. Generics are clinically identical and just as safe as their brand-name counterparts. They go through the same rigorous U.S. Food and Drug Administration (FDA) process as brand name drugs. To get started simply ask your prescriber if a generic is available for your prescription.
Your Pharmacy Benefits
| Mohave County Employee Benefit Trust |
Effective Date Benefit Type |
| Days’ Supply Dispensed | |
| Participating Pharmacy | |
| Mail Order | |
| Benefit Structure - HDHP Benefit | ||||
| Tier Level | Retail Pharmacy | Mail Order | Specialty Pharmacy | Applies to Out-of-Pocket Maximum |
| Tier 1 | 100% coinsurance until deductible is met |
100% coinsurance until deductible is met |
N/A | Yes |
| Tier 2 | 100% coinsurance until deductible is met |
100% coinsurance until deductible is met |
N/A | Yes |
| Tier 3 | 100% coinsurance until deductible is met |
100% coinsurance until deductible is met |
N/A | Yes |
| Specialty | N/A | N/A | 100% coinsurance until deductible is met |
Yes |
| Deductible | ||
| Individual Deductible | $3,300 | |
| Family Deductible | $6,600 | |
| Tier 1: |
Usually includes generic medications |
| Tier 2: | Usually includes preferred brand-name medications |
| Tier 3: | Usually includes non-preferred brand-name medications |
Experience Convenient Access to Your Pharmacy Benefits
Register on the Navitus member portal for tools to help you make the most of your pharmacy benefits.
Go to memberportal.navitus.com or scan the QR code to sign up today.*
* The QR code may identify your IP/device information. However, your personal and health information is strictly confidential and will not be captured.
Contact Information
Customer Care
24 hours a day, 7 days a week
855-673-6504 711 (TTY)
Member Portal
memberportal.navitus.com
Prescription Claims
Navitus Health Solutions
Attn: Claims Department
PO Box 999
Appleton, WI 54912-0999
Fax: 855-668-8550 (toll-free)
Mail Order
Costco Mail Order
800-607-6861
pharmacy.costco.com
Navitus Website
navitus.com/members
Specialty Pharmacy
Lumicera Health Services
855-847-3553
lumicera.com
Sharing Your Feedback
Your experience with your Navitus pharmacy benefits matters to us. Go to bit.ly/navitusfeedback or scan the QR code* to tell us how we are doing.
* The QR code may identify your IP/device information. However, your personal and health information is strictly confidential and will not be captured.
For a copy of your member rights and responsibilities, please visit the member portal or call Customer Care.
If you need this printed material translated or in an alternative format, or need assistance using any of our services, please contact Customer Care.