New! CarolinaCARE is the prescription mail order service and specialty medication pharmacy for the Atrium Health Floyd Plans. Health Plan members access CarolinaCARE for Affordable Care Act (ACA) medications, preventive medications, maintenance and specialty medications.
Retail Pharmacy is any pharmacy outside of CarolinaCARE.
It is recommended you evaluate your current medications and possible need for future medications and review the formulary to determine cost/tier at CarolinaCareRx.org > Get My Rx Price. If you have a chronic medical condition or take at least one medication on a daily basis, you can make an appointment and review your medication history with a pharmacist at One-on-One Rx. Visit CarolinaCareRx.org. Please note that registration can begin after December 15, 2022.
CarolinaCARE offers two convenient prescription refill programs. You can sign-up to enroll in either one:
To enroll, please log in to the CarolinaCARE website, read and accept the Terms and Conditions for your preferred refill program.
Please do not select Specialty medication for automatic refills if your specialty drug is managed by Atrium Health Specialty Pharmacy Services. The specialty team will contact you each month about refills for these specific medications.
TO ACTIVE EMPLOYEES OR COBRA PARTICIPANTS ELIGIBLE FOR MEDICAL COVERAGE AS OF JANUARY 1, 2022
If you are Medicare eligible (or if you or your dependents are Medicare eligible or will be in the near future) — and you participate in Atrium Health Floyd (the “Company”) medical coverage — this notice applies to you. Since we may not know if your dependents are Medicare eligible, we are sending this notice to all employees and COBRA participants who are eligible for Atrium Health Floyd's medical coverage.
The mail service pharmacy reduces your out-of-pocket expenses and the time you spend ordering and picking up prescriptions by allowing you to receive up to a 90-day supply of your medication. All prescription mail delivery services are administered by CarolinaCARE.Creditable Coverage Notice
WHEN CAN YOU JOIN A MEDICARE DRUG PLAN?
You can join a Medicare drug plan when you first become eligible for Medicare and each year from October 15 through December 7. However, if you lose your current creditable prescription drug coverage through no fault of your own, you also will be eligible for a two (2) month Special Enrollment Period (SEP) to join a Medicare drug plan.
WHAT HAPPENS TO YOUR CURRENT COVERAGE IF YOU DECIDE TO JOIN A MEDICARE DRUG PLAN?
If you decide to join a Medicare drug plan, your current Atrium Health Floyd coverage will not be affected. Your current Company-sponsored coverage pays for other health expenses, in addition to prescription drugs, and you will still be eligible to receive all of your current health and prescription drug benefits if you choose to enroll in a Medicare prescription drug plan. However, if you drop your Company-sponsored coverage, be aware that you and your dependents may not be able to get this coverage back.
WHEN WILL YOU PAY A HIGHER PREMIUM (PENALTY) TO JOIN A MEDICARE DRUG PLAN?
You should also know that if you drop or lose your current coverage with Atrium Health Floyd and don’t join a Medicare drug plan within 63 continuous days after your current coverage ends, you may pay a higher premium (a penalty) to join a Medicare drug plan later. If you go 63 continuous days or longer without creditable prescription drug coverage, your monthly premium may go up by at least 1% of the Medicare base beneficiary premium per month for every month that you did not have that coverage. For example, if you go 19 months without creditable coverage, your premium may consistently be at least 19% higher than the Medicare base beneficiary premium. You may have to pay this higher premium (a penalty) as long as you have Medicare prescription drug coverage. In addition, you may have to wait until the following October to join.
FOR MORE INFORMATION ABOUT YOUR OPTIONS UNDER MEDICARE PRESCRIPTION DRUG COVERAGE...
More detailed information about Medicare plans that offer prescription drug coverage is in the “Medicare & You” handbook. You’ll get a copy of the handbook in the mail every year from Medicare. You may also be contacted directly by Medicare drug plans. For more information about Medicare prescription drug coverage:
Discrimination is Against the Law
Atrium Health Floyd complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, gender identity, sexual orientation, pregnancy, or genetic information.
Atrium Health Floyd: