Walgreens, another major drugstore chain, said it had no plans \"at this time\" to place restrictions on sales of morning-after pills. Plan B pills are sold out at Walgreens.com, but are available in some stores.
Last week, the Food and Drug Administration deemed Plan B One-Step a safe and effective nonprescription medication for all women of childbearing years. The decision would have allowed the product to be available over-the-counter to people of all ages, but, in an unprecedented move, U.S. Department of Health and Human Services Secretary Kathleen Sebelius blocked the pill from hitting drug store shelves.
She was the sixth pharmacist with whom I spoke about purchasing emergency contraception in my quest to learn firsthand what obstacles exist in accessing a health care product that should be readily available. I walked 10 miles and visited 13 stores in Washington, DC; Maryland; and Virginia in an unscientific attempt to see how easy it would be to obtain this emergency contraception. What I discovered reflected what the research has shown: Access, even in an area as relatively liberal as the Washington metropolitan region, is neither uniform nor predictable, because each store has very different policies on where and if they choose to sell emergency contraception.
For years, conservatives on the religious right have argued incorrectly that Plan B and similar emergency contraception cause abortions. Some of this stems from confusion between Plan B and abortifacient drugs such as Misoprostol, a prescription medication that, combined with a secondary drug, can act as an abortion pill. But Plan B falls under the category of a contraceptive rather than an abortifacient because Plan B prevents pregnancy before implantation of a fertilized egg.
TRICARE covers LevonorgestrelEmergency contraceptive used to prevent pregnancy. It's also known as Plan B. It's available to all beneficiaries for free without a prescription. (Plan B One-Step Emergency Contraceptive) without a prescription from your doctor.
This list of covered services is not all inclusive. TRICARE covers services that are medically necessaryTo be medically necessary means it is appropriate, reasonable, and adequate for your condition. and considered proven. There are special rules or limits on certain services, and some services are excluded.
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More than 3.2 million Medicare beneficiaries are currently enrolled in an Aetna Medicare Advantage (MA) plan, which often includes valuable benefits, such as prescription drug coverage, dental, vision, hearing and fitness. To keep plans affordable, Aetna continues to offer many $0 premium plan options. Aetna estimates 84% of the Medicare-eligible beneficiaries in the U.S. will have access to a $0 monthly premium Aetna MA plan.1
For 2023, Aetna is offering Medicare Advantage Prescription Drug (MAPD) plans in 46 states plus Washington, D.C. Aetna added 141 new counties across the country, providing 1 million more Medicare beneficiaries access to an Aetna plan. In total, Aetna will offer MAPD plans in 2,014 counties in 2023, accessible by 55 million Medicare beneficiaries.2
For those who qualify for both Medicare and Medicaid benefits, Aetna expanded its Dual Eligible Special Needs Plan (D-SNP) offerings across 30 states, including new markets in South Carolina, South Dakota and Utah, and new PPO plan options in Georgia and South Dakota. All plans offer prescription drugs at no out-of-pocket cost and additional benefits for members who qualify for Low-Income Subsidy (LIS). Coverage varies by plan and may include healthy foods, utilities, over-the-counter items, additional transportation, companionship and fall prevention benefits.
New for 2023, Aetna will introduce the Aetna Medicare Longevity Plan, an Institutional Special Needs Plan (I-SNP), in Pennsylvania. This plan is specifically designed for people living in nursing homes. It includes prescription drug coverage and provides enhanced access to onsite care in the facility. Members receive extra benefits tailored to improve their quality of life by caring for their unique medical, social and emotional needs.
The Aetna standalone prescription drug plans (PDP) serve 6.1 million members. In 2023, Aetna Medicare will continue to offer three individual, standalone plans. SilverScript SmartRx (PDP) will be renamed SilverScript SmartSaver (PDP) in 2023 and will feature an average monthly premium of $5.92, along with $10 copays for select insulins at preferred pharmacies. SilverScript Choice (PDP) will be available to members with full Extra Help for a $0 monthly plan premium in all 50 states and D.C., while SilverScript Plus (PDP) has the most robust prescription drug coverage of our PDPs. All three plans are available in all 50 states and D.C and feature increased formulary coverage from 2022.4
$0 copays at preferred network pharmacies: Over 97% of our MAPD plans will offer $0 copay on Tier 1 drugs, and 50% of our MAPD plans will offer $0 copay on Tier 1 and Tier 2 drugs, for 30-, 60- or 100-day supply.
Robust drug coverage: New for 2023, our most widely used formulary will move nearly 300 drugs from higher-cost drug tiers to lower tiers. This means direct cost-share savings for our members, giving them access to many more drugs for a $0 or low copay. Plans using our other formularies can count on similar savings. For example, a member who had a drug (like Ezetimibe/generic Zetia used to treat high cholesterol) down-tiered from Tier 3 in 2022 to Tier 2 in 2023 on a plan with a $0 Tier 2 copay in 2023 and a $47 Tier 3 copay in 2022 would save $564 next year.
100-day supply at no extra cost: All MAPD plans will offer 100-day supply,5 for drugs on Tiers 1-4 at both retail and mail-order pharmacies with no increase in copay/coinsurance. Members who choose to use our preferred mail-order pharmacy to fill their 100-day supply prescriptions can count on convenient, no-cost standard shipping. Extended-day supplies will save members money and help them stay on their drug treatment program.
Tier 1/Tier 2 Coverage Gap: 99.3% of our MAPD plans provide robust Tier 1 and Tier 2 gap coverage at the same cost-share as in the initial coverage phase, allowing predictable copays through the donut hole and reducing the possibility of members reaching the catastrophic phase.
Aetna Medicare Extra Benefits Card (new): Select plans will include a new, preloaded debit card with a quarterly allowance that can be used towards the purchase of over-the-counter (OTC) items and/or a combination of support services6 such as: healthy foods; utilities (including water, electricity, gas, phone and internet service); and transportation. The card can be swiped at thousands of participating retailers for OTC and healthy foods.
Aetna Medicare Payment Card: Aetna is expanding this debit card to more plans and states and making it more convenient. Qualifying members will receive a quarterly allowance to use towards either out-of-pocket expenses for in-network care; approved OTC wellness items; or both. Members whose benefit includes an allowance for OTC items can buy a wide selection of items at any CVS Pharmacy retail location7 or place orders online through OTC Health Solutions, a CVS Health company.
Memory Fitness (new): Select Aetna Medicare plan members will get access to brain games, exercises and a huge library of information on activities that promote brain health. Memory Fitness can be accessed through BrainHQ on computers, smartphones and tablets.
Fresh Food Boxes (new): Qualifying members of select Individual Aetna MA plans can receive a produce box containing fresh fruits and vegetables delivered to their homes either biweekly, monthly or quarterly.
Dental, vision and hearing: Aetna believes benefits like dental, vision and hearing care are essentials and not simply extras. Aetna will continue to offer most MA members access to routine dental, vision and hearing coverage.8
Telehealth: All Aetna MA plans will continue to cover telehealth visits for primary care, urgent care and specialty care provided by a doctor, including mental health services. In 2023, additional telehealth services will be available including physical, occupational, and speech therapy, substance abuse and opioid treatment, kidney disease education and diabetes self-management training services. Depending on location, members will be able to schedule telehealth visits 24/7 via MinuteClinic, Teladoc or another network provider offering this service.
$0 cost-shares on select benefits: To ensure important services are affordable, Aetna continues to expand services available at no extra cost to the member. Most MA plans will have $0 copay for primary care visits and many plans will offer labs at no cost to the member. 59ce067264