New Prescription Benefit Manager

Medco

Effective April 1, 2012

LEHB’s current Prescription Benefit Manager, Express Scripts, recently closed their unionized mail order house in Bensalem.  Then, Shortly after, they closed their Bensalem call center and relocated it to a foreign country.  This greatly concerned the LEHB Directors and Tom Lamb, LEHB Administrator.

As a result, LEHB asked for bids from six other Prescription Benefit Managers, with the first priority being given to customer service, then cost.  After an extensive six month “request for proposal process” where six different Prescription Benefit Managers were evaluated, we selected Medco Health Solutions, located in Franklin Lakes, New Jersey.  They also have a state of the art mail order facility in Willingboro, New Jersey.

We feel selecting Medco improves customer service, addresses the mail-order problems we experienced with the previous vendor and saves LEHB money.  Medco’s Disease Specific Clinical Programs will enhance the current LEHB Disease Management Programs, providing our members with additional assistance in dealing with their medical concerns.

Medco has over 25 years of pharmacy benefit manager experience.  Medco has a solid foundation of success with retail, mail and specialty pharmacy services.  They also developed an advanced pharmacy model that engages physicians, empowers patients and drives value for the members.  In addition, Medco employs 1400 people in Pennsylvania and provides prescription coverage for over 4 1/2 million Pennsylvanians – over 35% of our state’s population.

Similar to Express Scripts, 53,000 nationwide pharmacies will be available to members.  Only Walgreens will be excluded.

The LEHB prescription team and the Medco transitional team are committed to assisting you in the event any problems arise during the transition period, ensuring you and your family receive your prescriptions with minimal disruption.

LEHB remains committed to securing the highest quality levels of medical and prescription coverage for our members and their families.

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LEHB Disease Management Program is proud to announce the

GRAND OPENING OF THE FIRST

“BREATHE EASIER CLINIC”

Sponsored by the Temple Lung Center at a convenient Northeast Philadelphia location
(9331 Old Bustleton Avenue)

Appointments can be secured starting on December 14, 2011

If you are diagnosed with Asthma, COPD, Bronchitis or just have difficulty breathing or shortness of breath while performing normal activities, this program is for you!

YOU MUST BE 18 OR OLDER TO PARTICIPATE

Please call LEHB Disease Management Team to take advantag of this exclusive NEW FREE program.  Call LEHB at 215-763-8290
Kelley ext 242, Kim ext 239 or Phyllis ext 220

LET’S GET YOUR BREATHING UNDER CONTROL!

FREE PROGRAM                         CHANCE TO WIN $250.00

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IMPORTANT UPDATE REGARDING WALGREEN’S PHARMACIES

Click here for more information!

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CONTRACT MANDATED CO-PAYS EFFECTIVE JANUARY 1, 2011

Effective January 1, 2011, the co-pay for medical services will increase.   This increase was awarded in the 2009-2014 CollectiveBargaining Agreement between the City of Philadelphia and the Fraternal Order of Police.  The contract mandates that co-pays increase to $15.00 per office visit to a family doctor and $25.00 for an office visit to a specialist.  New medical cards with this new co-pay information have been mailed out to members.  Any member who has not received their new card(s) by the second week of January should contact LEHB.  Once you have your new cards, you should not use and destroy your old cards.  We are here to help you and if any member has any questions about their benefits, now or at any time, please call LEHB at 215-763-8290   Click here to view a summary of your benefits and new co-pays.

2009-2014 CONTRACT UPDATE

LEHB would like to thank FOP President John McNesby and FOP Attorney Tom Jennings for defending your medical benefits during the 2009 contract negotiations.

LEHB’s city contribution reduced January 2010 to June 2010 by $200 per month per member.

  • No impact on you or your family!

Self-insured Blue Cross

  • No impact on your or your family!
  • Note:  Dental, Optical and Prescription plan has been self insured for 20 years.

LEHB will retain complete control of administering your medical plan.

  • Personal Choice –same doctors–same hospitals.

July 1, 2010 copay change

  • LEHB will hold city wide meetings.
  • LEHB will have a three month reserve (minus any copay offset) at the end of the contract.

Click here for full text of 2010-2014 contract

Office visit for a medical reason?

Order your LEHB password protected computer disk with three years of your medical and prescription history.  Print out your medical and prescription history for your next doctor’s visit. Calling for your disk makes you eligible to win $250.00!

  • Questions to ask your doctor.
  • What do you think is causing my problem?
  • Is there more than one condition or disease that could be causing my problem?
  • What test will you do to diagnose my problem?
  • How good are the tests for diagnosing my problem?
  • How safe are the tests?
  • What is the likely course of this condition with and without the recommended course of treatment?
  • What other treatment options are available?
  • Will the medications I’m taking affect my treatment?

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Here’s how you can win $250.00

By simply participating in one of LEHB’s many programs to help keep you healthy, you are automatically entered for a chance to win $250.00   Fill out an LEHB survey, get your flu shot at LEHB or attend an LEHB  sponsored seminar and you have a chance to win!

  • LEHB Dental Survey
  • LEHB IOD Survey
  • LEHB Medical-Vision Survey
  • LEHB Dental-Medical Survey
  • LEHB Duplicate Billing Survey
  • LEHB Improper Billing Survey
  • Complete a Blue Cross Personal Health Profile.
  • Engage LEHB Guardian Nurses for serious medical conditions to ensure coordinating your quality of care by calling 215-763-8290.
  • Call a Blue Cross Health Coach with any general question at 1-800-275-2583.
  • Call the Blue Cross Connections Program regarding a specific medical condition  such as:  hypertension, asthma, high cholesterol, diabetes, etc. at 1-800-275-2583.
  • Complete and return the annual coordination of benefits form.
  • Participate in the LEHB Flue Shot Program.
  • Participate in the LEHB HeartCam Program.
  • Participate in the LEHB Heads Up Program.
  • Participate in an LEHB Parenting Seminar.
  • Participate in an LEHB Health Fair.
  • Request your LEHB 2 year medical history on computer disk.