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NEW PRESCRIPTION DRUG FISCAL YEAR DEDUCTIBLE
There will be a new separate prescription drug deductible of $100 individual/$200 family for all health plans except Fallon Health Direct and Select. Oral chemotherapy and preventive care medications covered under the Affordable Care Act will not be subject to the deductible.
FISCAL YEAR MEDICAL DEDUCTIBLE
The fiscal year deductible will increase to $500 individual/$1000 family (regardless of family size). For the Fallon Health Direct and Select plans, the deductible will increase to $550 individual/$1,100 family.
HEALTH PLANS CLOSED TO NEW MEMBERS
Due to concerns about significant premium increases and spending beyond those premium rates, Fallon Health Select Care, Harvard Pilgrim Independence Plan, and Tufts Health Plan Navigator will be closed to new members:
There will no longer be any copayments or prior authorization for Medication-Assisted Treatment for opioid use disorder (generic buprenorphine-naloxone, naloxone, and naltrexone products). These drugs will also not be subject to the prescription drug deductible.
HARVARD PILGRIM INDEPENDENCE AND PRIMARY CHOICE PLANS
HARVARD PILGRIM INDEPENDENCE PLAN
TUFTS HEALTH PLAN NAVIGATOR AND SPIRIT
TUFTS HEALTH PLAN NAVIGATOR
UNICARE STATE INDEMNITY PLAN/BASIC AND COMMUNITY CHOICE
UNICARE STATE INDEMNITY PLAN/PLUS
M-F 8:45 a.m.-5 p.m.