Medicare Prescription Payment Plan
Pay out-of-pocket prescription costs in monthly payments over the plan year instead of all at once at the pharmacy.
Manage your out-of-pocket Medicare Part D drug costs by spreading them over the calendar year (January-December). There are no fees or interest when you make your payments on time. This may help you manage your expenses, but it does not save you money or lower your drug costs. If you join, you initially pay $0 to the pharmacy for covered Part D drugs. Then, we will bill you each month for the cost of covered Part D drugs you get while in the program.
Enroll
Phone: Call Express Scripts at 1-866-845-1803 (TTY: 1-800-716-3231), 24 hours a day, 7 days a week.
Online: Complete the form online at www.express-scripts.com/mppp.
Mail: Download the form and send the completed form to:
Express Scripts MPPP
P.O. Box 801101
Kansas City, MO 64180-1101
Urgent Requests
If you have an urgent prescription and you paid for it before you were accepted into the program, there is a process where we can reimburse you for the cost sharing you paid. We call this a retroactive election. You must meet these conditions:
- You believe that any delay in filling the prescription(s) may seriously jeopardize your life, health or ability to regain maximum function. It takes 24 hours to process your request to join the program.
- Your retroactive election request is within 72 hours of the date and time the urgent prescription claim(s) were processed.
What Happens Once I Join?
Once you have been accepted into the program, we will tell your pharmacy that you’re using this payment option. It will only apply to covered Medicare Part D drugs that are processed after your election is confirmed.
When you fill a prescription for an eligible drug, you will pay $0 at the pharmacy. You will still be responsible for your cost share of the drug associated with your Medicare Part D benefit under your plan.
When and How Do I Make Payments?
You will receive a monthly invoice showing the amount you owe, when it’s due and how to make a payment. Your payments may change every month because your monthly bill is based on:
- What you would have paid for any prescriptions you get
- Plus, your previous month’s balance
- Divided by the number of months left in the year.
You’ll never pay more than the total amount you would have paid out of pocket or the total annual out-of-pocket maximum.
If you miss a payment, you will get a reminder. If you don’t pay your bill by the date listed, you will be removed from this payment option. However, you still have to pay the amount you owe and you may not be able to join back into this payment option.
Leaving the Program
You can leave the program at any time. It will not affect your benefits or coverage. Go to www.express-scripts.com/mppp and choose the opt-out option. You can also call 1-866-845-1803. After you leave the program, you will get an invoice each month for the amount you owe until your balance is paid.
After you leave this payment option, you will pay the pharmacy directly for new out-of-pocket drug costs.
What Happens If I No Longer Have CareSource?
If you disenroll from CareSource or enroll in a new plan with drug coverage, your participation in this payment option will end. You will continue to receive a monthly invoice for the amount owed until your balance is paid in full.
Questions?
Call Express Scripts at 1-866-845-1803 (TTY: 1-800-716-3231), 24 hours a day, 7 days a week.