Prescription drug coverage is included in the Student Health Insurance Plan, and there is no dollar limit on this benefit. Prescriptions fall into three tiers that determine your co-payment. Prescription co-payments have an out-of-pocket maximum of $1,300 per individual and $2,600 per family in a plan year. Once you meet your out-of-pocket maximum, you will not be charged a copayment for your prescriptions for the remainder of the plan year. Over-the-counter drugs are not covered by the health plan.
- Tier 1: $17 / Mail Order Copayment: $51
- Tier 2: $40 / Mail Order Copayment: $120
- Tier 3: $55 / Mail Order Copayment: $165
- Other: $0 copayment for prescription contraceptive products that are generic or brand name without a generic equivalent. 50% coinsurance for Malarone, Mefloquine, Coartem, and Primaquine
|Mail Order: Members will be charged the mail order co-payment even if the days' supply is less than 90 days.|
View My Expected Co-Payment
To view your copayment online, visit Bluecrossma.com/medication and use the Medication Look Up tool to view covered prescriptions, or create a MyBlue account at Bluecrossma.com/my-account and select "Review Benefits."
- The Student Health Insurance Plan now includes mail order delivery.
Learn more about the mail order benefit
- All prescriptions can only be refilled when an 8-day or less supply is remaining
- Certain prescriptions can only be filled up to a 30-day supply
View a complete list of these medications
Traveling Within the U.S.
You can fill or refill up to a 60-day supply of most prescriptions at any participating pharmacy in the United States. Your copayment(s) or drug benefits do not change.
If you purchase medication without using your member ID, you may file for reimbursement through Express Scripts. You will be reimbursed at the allowed amount minus the applicable copayment.
Traveling Outside the U.S.
Travel override requests can only be processed within 10 business days of the departure date. Travel overrides can only be processed for a maximum amount of 6 months. You may need to contact your ordering physician and request a script for the number of months you need for traveling abroad. All travel override requests are processed based on your last refill date and your travel dates/documentation provided. Students are only allowed to fill the amount of medication that our office has authorized. You can be held liable for any costs filled beyond the amount we authorize.
Complete the Prescription Travel Override Worksheet and return it to Member Services with a copy of your travel itinerary (e-tickets or ticket confirmation page) at least 72 hours before you need to pick up your prescription. Your travel itinerary must include departure and return dates.
Limitations and restrictions may apply to certain medications. Before you request an override, confirm with your pharmacist that the medication you need does not have any restrictions.
Prescriptions that are purchased out of the country are reimbursed at 100% of the cost paid, minus the applicable copayment. Submit a Blue Cross Blue Shield international claim form to receive reimbursement.