Welcome Academic Year 2025-2026 New and Returning Students!
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Student Health Fee
No benefit changes
Student Health Insurance Plan
No benefit changes
Optional Preventive and Comprehensive Dental Plan
No benefit changes
Student Health Insurance Plan (Pharmacy Coverage)
| AY2024: 8/1/2024 – 7/31/2025 | AY2025: 8/1/2025 – 7/31/2026 |
|---|---|
| Chronic Condition Management Medication List | BCBSMA has designated certain medications be covered with limited out-of-pocket liability for the following chronic conditions: diabetes, asthma, heart conditions. If filling one of these medications on this list, the member will pay $0 for generic medications, and no more than $25 for a 30-day supply for brand-name medications. Review Program Information Sheet |
| Weight Loss Medications | BCBSMA has added a new dispensing limit of 30 days per fill for GLP-1 medications, Saxenda, Wegovy, and Zepbound. |
Blue Cross Blue Shield of MA usually reviews its standard prescription drug formulary for most changes on July 1 and January 1. Effective July 1, 2025, BCBSMA has updated its formulary (list of covered medications) for medical plans with pharmacy benefits. As part of this update, certain medications may:
- No longer be covered
- Have new quantity or dosing limits
- Switch copayment tiers
- Require prior authorization and/or step therapy
- No longer be covered under the pharmacy benefit and will only be covered under the medical benefit
- Changes to medical policy
- Changes to participating specialty medications in the PillarRx program
Members impacted by any of these changes will receive a letter from BCBSMA.
