As a Blue Cross Community Health PlansSM member, you have coverage for selected generic prescriptions, brand name prescriptions, over-the-counter (OTC) drugs, and selected medical supplies. This plan uses a Preferred Drug List (PDL). The PDL is a list showing the drugs that can be covered by the plan.
As a member, you pay nothing ($0) for the items on the PDL. Those items will be covered as long as you:
- have a medical need for them
- have a prescription from your doctor for them
- fill the prescription at a network pharmacy
- follow the plan rules
Certain drugs on the list need prior authorization. Your doctor will need to request approval before these drugs can be prescribed. Without approval, the drugs are not covered. You can find out if your drug has any added conditions or limits by looking at the PDL.
As a member of BCCHP, you can also get pre-approved Over-the-Counter (OTC) products one time every quarter at no cost to you.
BCCHP will pay up to a $40 benefit per quarter. Only one order can be placed in each quarter. The benefit amount will not roll over to the next quarter. If you do not use the full dollar amount, you will lose the remaining balance. To place an order, you can call Member Services at 1-877-860-2837 (TTY 711). Your order will be shipped to your address within 7 to 10 days.
As a Blue Cross Community Health Plans member, you have access to a wide network of pharmacies in Illinois. You must get your medication at a network pharmacy, and you will receive up to a 30-day supply.
If you take certain prescription drugs on a regular basis, you can have them delivered to your home. The mail-order service pharmacy program provides up to a 90-day supply at one time.