HD Benefits

1. Members can search for medications by entering the drug name in the search bar. The price will be displayed.
2. Members need to present their ID Card to the pharmacy of their choice. There are over 67,000 retail pharmacies in the network.
3. If members need medications not listed on the formulary, they can easily search www.simplescriptsrx.com for deeply discounted prices.

In addition to retail pharmacies, SimpleScripts Rx offers members a Home Delivery Option, with free standard shipping and affordable express delivery. Members have access to discounts up to 80% and savings on all orders of quality and certified pharmaceutical brands. Orders are placed through a registered and licensed pharmacy using a secured payment encryption method. With a fast and responsive customer support team, members can get assistance quickly if needed.

SimpleScripts Rx also offers a way to save on Diabetic Supplies. Members can choose from quarterly testing programs or purchase supplies as needed. All of the products are shipped to their home. No prescription is needed for OTC testing supplies.

Members Receive:

• Free talking blood glucose meter with first order
• 100% satisfaction guaranteed or their money back
• Tracking info on all orders via email and/or text
• Quarterly auto-shipping programs with option to choose how many times a day they test
• Programs start at as little as $24.99 per quarter ($8.33 per month)

If a Participant incurs an accidental injury or sickness and adequate medical facilities are not available locally, the assistance company will assist, if needed, in arranging an emergency medical evacuation (under medical supervision if necessary) by whatever means necessary to the nearest facility capable of providing adequate care. Covered expenses include transportation and related medical services (including cost of medical escort) and medical supplies necessarily incurred in connection with the emergency evacuation. All transportation arrangements made for the emergency evacuation must be made by the most direct and economical route possible. Terms and Conditions Apply*

After initial treatment and stabilization for an accidental injury or sickness suffered by the Participant, if the attending physician deems it medically necessary, the assistance company will arrange transport for the Participant back to his or her permanent place of residence for further medical treatment or to recover. Covered expenses include transportation and related medical services (including escort if necessary) and medical supplies necessarily incurred in connection with the repatriation. All transportation cost made for repatriation must be by the most direct and economical route possible. Terms and Conditions Apply*

Emergency Evacuation and Medically Necessary Repatriation Total combined Limit Up to USD $100,000. Terms and Conditions Apply*

In the event of the death of a Participant, the assistance company will assist in making arrangements providing for the return of mortal remains. Covered expenses are the following: locating a sending funeral home, transportation of the body from the site of death to the sending funeral home; preparation of the remains for either burial or cremation; transportation of the remains from the funeral home to the airport; providing the minimum necessary casket or air tray for transport; consular services (in case of death overseas); procuring death certificate; transport of the remains from the airport to the receiving funeral home. Once the Participant’s body has been delivered to the receiving funeral home, this coverage ends. Up to USD $20,000. Terms and Conditions Apply*

In the event a Participant requires emergency medical evacuation by air ambulance or repatriation by commercial airlines. Air transport of the Participant’s spouse or other family member or traveling companion will be provided so that person may accompany the insured in flight, subject to space availability, giving priority to medical equipment and medical personnel aboard and for the welfare and safety of the Participant receiving services. All services in connection with transportation of traveling companion must be preapproved and arranged by the assistance company. Up to USD $5,000. Terms and Conditions Apply*

When a member is traveling alone and is hospitalized for more than seven (7) consecutive days, the Assistance company will arrange transportation to the place of hospitalization for a chosen person by the insured, provided repatriation is not imminent. Covered expenses include the cost of the most direct economy round trip common carrier ticket to the place of hospitalization. Up to USD $5,000. Terms and Conditions Apply*

When dependent children, traveling on a covered trip with the Participant, are left unattended as the result of a Participant’s injury or sickness, the assistance company will arrange to transport such minors to the domicile of a person nominated by the Participant or next of kin. Covered expenses include a one way common carrier economy ticket by the most direct route. Attendants will be provided if necessary. Up to USD $5,000. Terms and Conditions Apply*

Should the Participant need help communicating in a foreign country, the Assistance Provider will provide telephone interpretation. Terms and Conditions Apply*

In the event a Participant should suffer from a certified illness, injury or death which requires emergency medical evacuation/medical necessary repatriation or transportation of mortal remains and the Participant is thereby unable to drive his/her vehicle, this assistance will provide vehicle return service for ground vehicles such as cars, trucks, vans, travel trailers or motor homes, operated by the Participant, to the Participant’s permanent residence. This benefit will pay the cost, up to USD 1,000 for fuel, oil, driver and tolls to affect such return. The insured will bear the cost of any repair due to mechanical breakdown, en route, as well as cost for food and accommodations. The vehicle must be in condition capable of being safely operated on the highway. All services in connection with vehicle return must be preapproved and arranged by the assistance company. All coverage’s apply only when the Participant is traveling more than 100 miles from the Participant’s permanent place of residence and the trip is 90 consecutive days or less. Covered expenses are reasonable and customary expenses for necessary transportation, related medical services and medical supplies incurred in connection with the coverage’s listed above. All transportation arrangements. Terms and Conditions Apply*

Should the Participant need information before and/or during travel he/she may call the Assistance Provider 24 hours a day to obtain help. The multilingual staff is prepared to assist and coordinate the management of a wide variety of travel related situations. Services include but are not limited to information on required documents, immunization requirements, State Department Travel Advisory warnings on travel to certain locations, weather and hazard information about foreign locations, suggested medical exams or treatment before departure and medical care en route. Terms and Conditions Apply*

Should the participant need to be medically monitored, the Assistance Provider will monitor the case, while liaising with the participant, the local attending physician, the family physician and the medical director of the transportation company. Terms and Conditions Apply*

Should the Participant need help locating a Physician or Hospital, the Assistance Provider will provide referrals to a local prequalified Physician and/or Hospital. Terms and Conditions Apply*

Should the Participant need help for overseas medical payments the Assistance Provider will assist in the arrangement of payment or guarantee of payment to Medical Providers. Subject to the quality of the Participant’s confirmed personal credit. Terms and Conditions Apply*

Should the Participant need help for overseas medical claims, the Assistance Provider will assist him/her in coordinating the claims procedure with the Participant’s insurance program. Terms and Conditions Apply*

Should the Participant need help to replace lost or stolen travel documents (i.e., passport, baggage, tickets, credit cards, etc.), the Assistance Provider will advise and assist where possible regarding their replacement. Terms and Conditions Apply*

Should the Participant need help arranging local attorneys, embassies and consulates, arranging bail, or coordination of payment for legal services the Assistance Provider will provide referrals and payments, from available resources of the Participant. Terms and Conditions Apply*

Should the Participant need prescription medication or lenses not available locally, the Assistance Provider will organize the delivery of the prescribed item to the Participant upon written authorization from the prescribing physician when possible and legally permissible. Terms and Conditions Apply*

Should the Participant need cash as a result of loss or theft, the Assistance Provider will arrange for emergency cash transfers and advances through additional sources, including hotels, banks, Consulates and Western Union, up to a limit of $500 per transaction. All transactions are subject to any government regulation and to the availability of the Participant’s confirmed personal credit. Terms and Conditions Apply*

ALL BENEFITS AND SERVICES MUST BE PREARRANGED BY CALLING THE ASSISTANCE PROVIDER COMPANY 24 HOURS A DAY. THE ASSISTANCE PROVIDER COMPANY WILL ARRANGE SERVICES ON THE PARTICIPANT’S BEHALF. PAYMENT FOR SERVICE IS THE RESPONBILTIY OF THE PARTICIPANT. ALL PAYMENTS MADE FOR COVERED/QUALIFED EVENT/EXPENSE CAN BE SUBMITTED BY THE PARTICIPANT FOR REIMBURSEMENT AND SUBJECT TO CLAIMS APPROVAL.

Health Care Discounts Disclosure

Not available in AK, OK, UT, VT, WA. If you move to one of those states, your discount medical benefits will terminate.

The discount medical, health, and drug benefits of this Plan (The Plan) are NOT insurance, a health insurance policy, a Medicare Prescription Drug Plan or a qualified health plan under the Affordable Care Act. The Plan provides discounts for certain medical services, pharmaceutical supplies, prescription drugs or medical equipment and supplies offered by providers who have agreed to participate in The Plan. The range of discounts for medical, pharmacy or ancillary services offered under The Plan will vary depending on the type of provider and products or services received. The Plan does not make and is prohibited from making members' payments to providers for products or services received under The Plan. The Plan member is required and obligated to pay for all discounted prescription drugs, medical and pharmaceutical supplies, services and equipment received under The Plan, but will receive a discount on certain identified medical, pharmaceutical supplies, prescription drugs, medical equipment and supplies from providers in The Plan. You may call (214) 436-8882 or email customerservice@premierhsllc.com for more information or visit myhealthmembers.com for a list of providers. The Plan will make available before purchase and upon request, a list of program providers and the providers’ city, state and specialty, located in the member’s service area. The fees for The Plan are specified in the membership agreement.

Note to MA consumers: The discount plan is not insurance coverage and does not meet the minimum creditable coverage requirements under M.G.L. c. 111M and 956 CMR 5.00.

 

HDCP1018-7