Medicare Prescription

Part D Benefit

El Paso Health Advantage Dual SNP (HMO D-SNP) offers Medicare Part D prescription drug benefit. When you enroll in El Paso Health Advantage Dual SNP (HMO D-SNP), you will have medical benefits plus prescription drug coverage. El Paso Health Advantage Dual SNP has a “closed” formulary, which means that drugs that are within a given therapeutic class are covered as allowed under the Medicare Part D prescription drug program. A “closed” formulary also limits the number of eligible Part D medications that will be reimbursed by the plan. We also cover the drugs that are part of the Medicare Part B benefit, including most injectable drugs administered by a physician. The amounts you pay for those drugs do not count toward the Part D deductibles or out-of-pocket amounts.

El Paso Health Advantage Dual SNP (HMO D-SNP) has contracted with pharmacies to meet your needs. You can use any pharmacy in our network. The pharmacies in our network can change at any time.

See our Pharmacy Directory or call Member Services at 1-833-742-3125 (TTY 1-855-532-3740), from October 1 to March 31, 8:00 am to 8:00 pm, 7 days a week and April 1 through September 30, Monday through Friday, 8:00 am to 8:00 pm Mountain Time.

If you go to a pharmacy that is not in our network, you might have to pay more for your prescriptions. You also might have to follow special rules before getting your prescription in order for the prescription to be covered under our plan. For more information, call Member Services. 2020 Low Income Premium Summary Chart

CMS Best Available Evidence (BAE) Page

H3407_website CMS Accepted 10/09/2019 | Last Updated: 1/2/2024