Your prescription benefits are administered by your medical plan. For more details on coverage within each plan, please view the Medical and Prescription Drug Options comparison charts on the Medical page of this site.
If you select one of the HDHP plans or the PPO, your prescription drug benefit will be provided through OptumRx for 2021 and is included with your Medical Plan election. Contact your Genesys Care Coordinators or go to genesyshealthplan.com to review the preventive drug list.
You have two ways in which you can fill your prescriptions: at a participating retail pharmacy (for medications up to a 31-day supply) or through a mail order program (for medications up to a 90-day supply).
Please Note: It is important that you utilize an in-network pharmacy for your prescriptions. Out-of-network prescription claims will be processed at a higher price, and you will be responsible for the cost difference. Visit genesyshealthplan.com or download the Optum Rx mobile app to find an in-network pharmacy near you.
If you elect the Kaiser plan, you can contact Kaiser directly at 1-800-464-4000 or online at kp.org to learn more about the available prescription drug benefit.
If you elect the Hawaii plan, you can learn more about HMSA’s drug tiers online at hmsa.com/drug-list.
To view a list of drugs that have been approved by your insurance company, click on the corresponding link below.