
Prescription Drug Coverage
Your medical plan includes prescription drug coverage administered by OptumRx®. Keep in mind that you’ll pay less at the pharmacy when you stay in-network. You can also save money by exploring lower-cost alternatives, such as generic medications, or by signing up for our mail-order program for medications you take regularly to manage a health condition.
Pharmacy Benefits: OptumRx
Coverage shown in the table below applies to both the PPO Plan, HDHP and Surest PPO Defined Copay Plan.
| In-Network | Out-of-Network | 
|---|
Tier 1 Prescription Drugs
| $10 copay | Not covered | 
Tier 2 Prescription Drugs
| $35 copay | Not covered | 
Tier 3 Prescription Drugs
| $60 copay | Not covered | 
Tier 4 Prescription Drugs
| 20% up to $250 | Not covered | 
Mail Order (Up to a 90-day supply)
| 2x retail copay | Not covered | 
Find an in-network pharmacy
Need to find an in-network pharmacy near you?
-UnitedHealthcare Members: Visit the myuhc.com® website or call a UnitedHealthcare Health Advocate at 1-844-298-8934.
-Surest Members: Visit benefits.surest.com or call Surest member services at 1-866-683-6440.
Have a Health or Benefit Question? An Advocate Can Help.
UnitedHealthcare Members: Call 1-844-298-8934 to get connected to a UnitedHealthcare Health Advocate, visit the myuhc.com® website or download the UnitedHealthcare® app on the App Store® or Google Play™ .
Surest Members: Call 1-866-683-6440 to get connect to Surest member services, visit benefits.surest.com or download the Surest app on the App Store or Google Play.
