HOP offers two Medicare Prescription Drug Coverage Options. You can choose one of these plans with medical coverage or on a standalone basis:

• Basic Medicare Rx Option: Provides the minimum level of Medicare Prescription Drug coverage required by Medicare.
• Enhanced Medicare Rx Option; Provides coverage for additional drugs and 50% cost sharing in the “coverage gap.”

Both the Basic and Enhanced Medicare Rx Plans include a “formulary.” Medicare requires plans to submit a formulary list of drugs to be covered under an approved Medicare prescription drug plan. We developed a custom formulary (list of covered medications) that covers almost all of the medications that current HOP participants had filled over the last year. Not all drugs are included under the Basic and Enhanced Medicare Rx Options. Generic drugs for covered categories are always included.

For more information about the Basic and Enhanced Medicare Rx Options, refer to the many Medicare Rx resources on this site:

• Find a Drug
• Find a Pharmacy
• 2012 Annual Notice of Change and Evidence of Coverage (PDF 705KB)
• 2012 Summary of Benefits (PDF 1.01MB)
• Exceptions and Appeals
• Reporting Fraud