Is an organization required to integrate its program existing benefits with its clients’ benefit structures?
Response: No. The organization should be aware of the existing health programs and benefits of purchasers/clients. Those benefits and programs to be coordinated would include but not limited to other health plan carriers, pharmacy benefit managers, third party administrators, disease management vendors, etc. If an organization is asked to coordinate its program into the current benefit structure, it will also be necessary to coordinate materials and communications between the organization and those other existing programs. It is the purchaser’s responsibility to inform the organization of its benefit structure and request the organization coordinate its offering within that structure. Mail Service Pharmacy and Specialty Pharmacy Standard Module: Mail Service and Specialty Pharmacy Module Version: 1.0 Standard Number: All Standard: P&T Committee Question: Is a P&T Committee required for mail service and specialty pharmacy programs? Response: If the pharmacy contracts directly with healt
Related Questions
- Is an organization required to integrate its program existing benefits with its clients’ benefit structures?
- What other benefits exist for our organization as a result of implementing an employment equity program?
- WHAT IS THE IT ARCHITECT HR BENEFITS PROGRAM AND HOW CAN MY ORGANIZATION TAKE ADVANTAGE OF IT?
