HealthVoice February 2017

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Member Newsletter

February 2017







Pharmacy Plan Design Changes for 2017

Current Employee and Pre-Medicare Members

Effective Jan. 1, the HealthChoice High and High Alternative plans have a $100 pharmacy deductible per person with a $300 maximum per family. This new deductible applies to pharmacy medications only and must be satisfied before the pharmacy copay structure applies.

HealthChoice also implemented the HealthChoice Preventive Medication List Jan. 1 for all non-Medicare plans with a deductible on the pharmacy benefit, which includes the High, High Alternative, and High Deductible Health Plans. This is a list of generic medications that are not subject to the deductible, and you pay the generic copay of up to $10 for a 30-day supply and up to $25 for a 90-day supply. You can access this list at

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Required Calendar Year Verification of Other Insurance for Medical and Dental Claims

Once a year, HealthChoice verifies if you, your enrolled spouse or enrolled dependents are covered under any other group insurance in efforts to coordinate benefits with your other plan. Effective Jan. 1, HealthChoice now requires members to complete a new Verification of Other Insurance (VOIC) form on a calendar year basis versus an annual basis. Due to this recent change, as a courtesy, if you provided a VOIC form during July through December 2016, a new form will not be required from you for 2017. 

If you are covering your spouse or dependents and did not complete the form during July through December 2016, upon receipt of a claim, HealthChoice will send you a letter requiring you to complete a new Verification of Other Insurance Coverage form.

To expedite this process and inform HealthChoice now, download a VOIC form from the HealthChoice website at Please do not leave any portion of this form blank. Failure to return this form in a timely manner can result in the delay or denial of your claims.  

If you have any questions about how to complete the form, please call the medical and dental claims administrator at 405-416-1800 or toll-free 800-782-5218. 

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Don’t Forget Your Online Explanations of Benefits

HealthChoice medical and dental claims Explanations of Benefits (EOBs) are available online through your secure ClaimLink account.

Access ClaimLink at or directly at When you first visit ClaimLink, you must register by creating a user ID and password, which are all you need for future access. You will be notified by email when an EOB is available.  

For assistance, call the medical and dental claims administrator at 405-416-1800 or toll free 800-782-5218. TDD users call 405-416-1525 or toll free 800-941-2160. 

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HealthChoice Select Breast Care Services

Did you know you have added breast care benefits under HealthChoice Select if you need a mammogram?

In addition to the HealthChoice preventive mammogram benefit, if you need follow-up procedures such as a biopsy, puncture aspiration, or placement of a marker (localization device), you can also receive these at a Select facility under the Breast care bundle. By utilizing the Select benefit, these additional services may also be covered at 100 percent under the HealthChoice Select breast care bundle when received at a participating Select facility. Specific procedure codes apply.

This program is available to members of the HealthChoice High, High Alternative, Basic and Basic Alternative health plans and High Deductible Health Plan (HDHP)*.

You can search for the Select facilities that provide breast care services and other service types at

*HDHP members must first meet their deductible before the plan pays any benefits, other than for preventive services.

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Bariatric Surgery

As of Jan.1, 2017, bariatric surgery is a covered benefit under the HealthChoice High, High Alternative, Basic and Basic Alternative health plans and High Deductible Health Plan for members ages 18 and older who have been covered under a HealthChoice health plan for 12 consecutive months prior to the surgery. Members are encouraged to continue coverage with a HealthChoice health plan for 24 consecutive months after bariatric surgery. Coverage is limited to bariatric sleeve, bypass and duodenal switch as well as revision and conversions. All policy provisions, including deductible and coinsurance, apply.

Bariatric services are subject to certification as set forth by the certification administrator. All bariatric surgeries must be obtained from an accredited, network Metabolic Bariatric Surgery Accreditation and Quality Improvement Program Comprehensive Center. You can search for a network provider under the specialty, Bariatric Surgery Centers of Excellence, at

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Disposing of Expired Medications

The start of a new year is the perfect time to assess and organize your medicine cabinet. Leaving expired and unused drugs in your medicine cabinet can put anyone in your home, including children and pets, at risk for accidental ingestion, misuse or overdose.

All expired and unused medications should be disposed of properly. Check all medication labels for an expired date. If unmarked or you can’t remember what the medication was for, you should dispose of it. Be safe and dispose of the medication properly.

The following abbreviated guidelines developed by the Food and Drug Administration (FDA) encourage the proper disposal of medications:

  • Take advantage of your local pharmaceutical take-back program. Many police stations have Rx disposal boxes. To find an authorized collector in your area, visit the Oklahoma Bureau of Narcotics and Dangerous Drugs site at or call them at 800-522-8031.
  • Follow any specific disposal instructions on the medication label. Do not flush medications down the sink or toilet unless disposal information specifically instructs you to do so. The FDA consumer drug information web page has a complete list of flushable medications.
  • Remove or destroy all identifying personal information for the medication containers before throwing them away.
  • If no disposal information is present on the label and no take-back programs are available in your area, throw the medication in your household trash with these recommendations in mind:

Remove from original container and mix with an objectionable substance, such as kitty litter, dirt or coffee grounds, to make it less appealing to children or animals. Place the mixture in a sealable bag or container to prevent the medication from seeping or breaking out of the garbage bag.

Taking these precautions not only protects our drinking water, but also reduces the danger of unintentional use, overdose or abuse. For more information on how to dispose of unused medication, visit

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