Dear Teachers,

It is with much pleasure we announce that the error in the diabetic prescription cap program for members in our  Control Is The Goal diabetic program has been corrected. Diabetic members will now benefit from the $100 per prescription, per 30 day supply, out-of-pocket expense. 

We are also pleased to announce that members enrolled in the  Control Is The Goal diabetic program will be reimbursed for any out-of-pocket expenses exceeding this cap for receipts dated January 1st, 2016 to February 3rd, 2016.  All reimbursement requests, complete with copies of your receipts, can be submitted to a Healthcare Advocate at advocates@wellhealthqc.com, and they will file a reimbursement request on your behalf. 

Please note, while some members were pre-identified as candidates and pre-enrolled into the  Control Is The Goal diabetic program, any members choosing to participate in the  Control Is The Goal diabetic program will need to fill out and complete the full enrollment form, which can be found on the Teachers Health Trust website or can be requested by a Healthcare Advocate.  If you think you should have been pre-enrolled but were not, please contact a Healthcare Advocate at 855-404-9355.

In addition, the $100 maximum and reimbursement does not include the $10 Pharmacy Choice Fee incurred when members choose to fill their prescription in a pharmacy other than CVS, Walmart, Sams Club, Vons, and Lins Supermarket.  These charges are at the member’s expense based on the terms of the in- and out-of network pharmacy benefit. 

Thank you,

WellHealth Quality Care and Teachers Health Trust

You can access the Keep It Low Reimbursement Form here.