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  Eligibility & Benefits

 

Important Note:  Effective September 1, 2009 the following  will be added to BCBSVT’s prescription drug step therapy list:
  • statins (Lipitor 10 mg and 20 mg only - cholesterol-lowering drug),
  • non-HIV anti-virals (like Famvir),
  • bisphosphonates (like Boniva),
  • hypnotics (sleeping pills) and
  • nasal steroids (for allergies)
If you have patients taking a brand medication in any of these categories, please discuss this change with them.

 


DoctorOnPhone Member Eligibility Verification Check in-state and out-of-state member eligibility online or by phone.
PlanOverview Plan Overview Review plan differences at a glance, to determine proper copays or prior approval requirements.
HoldingIDCard ID Cards  Quick visual reference for reading the details of coverage from a member ID card.
Certificates of Coverage PDF documents for each plan cover the details of coverage.
3-Tier Drug Plan Understand how the 3 tier drug plan works.
Prior Approvals Check which procedures, medical equipment, or prescription drugs require prior approval.
Medical Policies Read our policies on selected medical procedures and equipment.