Optima Medicare (PPO): Pharmacy Access Guidelines



Plan Information 2010 Plan Information Change Your Plan Drug Lists Service Area Out-of-network Pharmacy Coverage Help with Prescription Drug Costs Other Helpful Information Contact Information Optima Medicare (PPO) Meetings Enrollment Info Eligibility Requirements Common Questions Additional Resources Medicare Required Information Grievance, Coverage Determination and Appeals Processes Disclaimers for Optima Medicare Plans Pharmacy Access Guidelines Member Rights and Responsibilities Notice of Privacy Practices HIV Testing Advance Directives	Optima Medicare (PPO) Pharmacy Access Guidelines In keeping with Centers for Medicare and Medicaid Services (CMS) guidelines, our pharmacy network meets the following: Optima Medicare has over 1500 pharmacies in the 2010 Network; At least 90% of Medicare beneficiaries, on average, in urban areas live within two miles of a network pharmacy; At least 90% of Medicare beneficiaries, on average, in suburban areas live within five miles of a network pharmacy; At least 70% of Medicare beneficiaries, on average, in rural areas live within 15 miles of a network pharmacy. The inclusion of a pharmacy in the directory does not guarantee that the pharmacy is open or is at the same location as listed in the directory. Listing does not guarantee participation in the network. All network pharmacies may not be listed in the directory. If you have any questions about Optima Medicare pharmacy benefits, please contact us.
	Last Updated March 10, 2010 10:06:52 AM Policies and Disclosures Sentara.com Optima Behavioral Health

Optima Medicare (PPO)Pharmacy Access Guidelines

Optima Medicare (PPO)
Pharmacy Access Guidelines