SaveonSP – Variable Copayments for Certain Specialty Pharmacy Medications
The Trustees of the Christian Brothers Employee Benefit Trust (CBEBT) have approved a specialty pharmacy Plan change for all Trust Participants, except those enrolled in a High Deductible Health Plan that is Health Savings Account (HSA) qualified. Effective Jan. 1, 2019, the CBEBT will introduce variable prescription copays for non-essential health benefit specialty medications through the SaveonSP program.
Specialty medications provide unique treatments with remarkable results for complex, chronic diseases. However, the cost of these drugs can be excessive. Prescription drugs, as a category, are considered one of the 10 Essential Health Benefits under the Affordable Care Act (ACA). However, only certain medications must be classified as "essential" leaving the opportunity for the others to be classified as "non-essential health benefits." Both essential and non-essential medications are important and necessary to a patient's health, but there are certain ACA rules that apply to only medications classified as essential.
The SaveonSP program will allow many CBEBT participants to get select specialty medications at no cost.
SaveonSP works in conjunction with the CBEBT's current pharmacy program through Express Scripts. CBEBT participants who are enrolled in the SaveonSP program will continue to receive their specialty medications through Accredo, Express Scripts' specialty mail order provider. SaveonSP will leverage manufacturer's copay assistance programs to provide both savings to participants and to the Plan.
A CBEBT participant currently on a specialty drug with a copay of $100 would have a $1,000 copay after Jan. 1, 2019, if they are not enrolled in the SaveonSP program.
If enrolled in the SaveonSP program, the full copay will be paid through the manufacturer copay assistance program and the participant will pay $0.
A participant is eligible to enroll in the SaveonSP program if they currently take certain specialty pharmacy medications that are considered non-essential health benefit specialty medications under the Plan, or if they begin taking one of these medications at a later date, and are not enrolled in a HSA qualified health plan. The SaveonSP Program includes 80+ non-essential health benefit medications covering conditions such as hepatitis C (Hep C), multiple sclerosis (MS), psoriasis, inflammatory bowel disease (IBD), rheumatoid arthritis (RA), cancer and others. For a list of these medications and their associated monthly copay, visit www.saveonsp.com/cbservices or call SaveonSP at 1-800-683-1074.
Enrollment in the program is voluntary. However, if a participant chooses not to enroll in SaveonSP, they will pay the prescription drug copay for medications as shown on the Plan's non-essential health benefit specialty drug list (www.saveonsp.com/cbservices) and the copay will not count toward their deductible or Out-of-Pocket maximum. For more information and answers to frequently asked questions please refer to the SaveonSP Variable Copay Assistance Program FAQ (www.cbservices.org/images/health/2018_CBEBT-SaveonSP-FAQ.pdf).