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If you speak another language, we are happy to help! We provide free translation services to answer any questions you may have about our prescription drug plan.
To get an interpreter please contact us. This is a free service.
Need help with your prescription costs?
You may be able to get Extra Help to pay for your prescription drug premiums and costs in addition to help with other Medicare costs. People whose yearly income and resources are below certain limits can qualify for this help.
To see if you qualify for extra help call:
- 1-800-Medicare (1-800-633-4227), TTY users should call 1-877-486-2048 (24 hours a day/7 days a week),
- Your State Medicaid Office, or
- The Social Security Administration at 1-800-772-1213, TTY users should call 1-800-325-0778 (between 7 a.m. and 7 p.m., Monday through Friday).
- Or online at http://www.ssa.gov/prescriptionhelp/.
Premiums will be lower once you receive extra help from Medicare. Premiums do not include any Part B premium you may have to pay. For information concerning the actual premiums you will pay, please contact your employer/union group health plan sponsor.
Best Available Evidence (BAE)
If you believe you have qualified for Extra Help and you believe that you are paying an incorrect cost-sharing amount when you get your prescription at a pharmacy, our plan has established a process that allows you to either request assistance in obtaining evidence of your proper co-payment level, or, if you already have the evidence, to provide this evidence to us. For more information, please call Granite Alliance or visit Medicare’s Best Available Evidence website at:
If you have any questions about your pharmacy benefits, you are always welcome to contact Granite Alliance directly. You can also reference your Summary of Benefits, Pharmacy Benefit Guide (also known as the Evidence of Coverage), and the Annual Notice of Changes below. The Pharmacy Benefit Guide will provide you with the most detailed information about your prescription coverage, including:
- What is and what is not covered.
- How to get your prescriptions filled.
- What you will pay for your prescriptions.
- What to do if you are unhappy about something related to getting your prescriptions filled.
Learn more about potential savings opportunities by using generic drugs
Did you know, according to the U.S Food and Drug Administration (FDA):
- Generic drugs contain the same active ingredients and experience the same efficacy as their brand equivalents?
- You can generally save 30-50% on your out-of-pocket costs by switching from your brand medication to its chemically equivalent generic product?
- U.S. consumers could have saved $20 billion in 2004 by more extensive use of generics in six widely prescribed drug classes (antidepressants, antihyperlipidemics, antihypertensives, calcium-channel blockers, gastrointestinals, and nonsteroidal anti-inflammatory drugs (NSAIDs))?
And, according to the Congressional Budget Office, generic drugs save consumers an estimated $8 to $10 billion a year at retail pharmacies.
What are generic drugs?
- A generic drug is therapeutically equivalent (contains the same active ingredient(s), is the same strength, and is the same dosage form) to a brand name drug.
- These drugs referred to by their chemical names, and are generally made available when patent protection on the brand name drug expires.
- According to the Centers for Medicare and Medicaid Services (CMS), almost half of all prescriptions are filled with generics.
Why choose generic drugs?
More people are choosing generic drugs because they are:
- Safe - They have the same active ingredients and are used in the body the same way as their original brand name drugs. They are also approved by the U.S. Food and Drug Administration (FDA), just like brand name drugs.
- Effective - They are just as strong and deliver the same medical benefits as brand name drugs.
- Often Less Expensive - Members can generally save 30-50% on their out-of-pocket expenses by switching to generics.
- Available - More and more generic drugs are becoming available each year as the patents of their equivalent brand products expire.