Prescription Drug Coverage
You can enhance your health plan by adding valuable prescription drug benefits
- with a choice of co-payments - to your coverage. You may have prescriptions
filled at any participating pharmacy, or use our Mail Order/Maintenance program
and have medications conveniently delivered to your home.
Atlantis Health Plan has four prescription options:
- $5 Co-pay
- $10 Co-pay
- $5/10 Co-pay
- 50% Co-pay
Further information on these plans is forthcoming.
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Mental Health/Substance Abuse
• Outpatient Mental Health
Four outpatient mental health riders are available. Each rider provides additional outpatient visits per calendar year and each visit is subject to a co-payment of 50% of the cost of the visit.
The four riders provide for:
- 20 additional visits
- 30 additional visits
- 40 additional visits
- 50 additional visits
• Inpatient Mental Health
This rider entitles the member to an additional 30 inpatient days per calendar year. Inpatient days are not subject to co-payment
• Inpatient Alcohol/Substance Abuse
This rider entitles the member to an additional 30 inpatient days per calendar year. Inpatient days are not subject to a co-payment.
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Skilled Nursing Facility
This rider provides an additional 60 inpatient days per calendar year for medically
necessary services in a Participating Skilled Nursing Facility. Services must constitute
Skilled Nursing care as defined by Medicare Law.
There is no co-payment for skilled nursing facility services.
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Vision
• High Option
This rider entitles the member to an eye examination once every 12 months, with
the benefit period measured from the date of service.
In addition, the member is entitled to a $150.00 (retail) total eyewear allowance
once every 24 months, with the benefit period measured from the date of service.
Eyewear consists of a frame and/or lens combination or contact lenses.
If the member elects to purchase contact lenses in lieu of eyeglasses, the member
is required to pay the usual and customary charge for professional services beyond
the standard eye exam for testing specific to contact lenses and evaluation.
There is no co-payment for vision services.
• Low Option
This rider entitles the member to an eye examination once every 12 months, with
the benefit period measured from the date of service.
The member is entitled to a $75.00 (retail) eyewear allowance once every 24 months,
with the benefit period measured from the date of service. Eyewear consists of a
frame and/or lens combination or contact lenses.
There is a $10 co-payment for vision services.
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Student Coverage
Age 23
This rider increases the age of dependent eligibility to 23 as long as the dependent attends school on a full time basis.
Age 25
This rider increases the age of dependent eligibility to age 25 as long as the dependent attends school on a full time basis.
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