Pharmacy option

Moda Health short term medical plans come with an outpatient prescription medication reimbursement option. If you are filling a prescription (that is not for a pre-existing condition), here are the required steps for reimbursement:

• Be sure to keep your receipt from this transaction.
• Once you have paid for your prescription, submit your claim using the Moda Health Short Term Medical Prescription Claim form. You will need to include your prescription receipt.
• Submitting your claim will enable your out-of-pocket costs to go toward your deductible or out of pocket maximum.
• Once you’ve met your deductible, any future outpatient prescription costs that are submitted may be eligible for reimbursement at your chosen coinsurance rate up to your out of pocket maximum.