As of January 1, 2016, copays and deductibles for prescriptions count towards HealthSelect participants’ total out-of-pocket maximum. (The out-of-pocket maximum used to include only health deductibles, coinsurance and copays.)
If you’re in HealthSelect, your explanation of benefits (EOB) from UnitedHealthcare will show Prescription Drugs as Type of Service. Date of Service is the date on which Caremark, the third-party administrator for prescription drugs, processed the claim, not the date the prescription was picked up. As a result, you may see a prescription copay or deductible listed in your EOB before you have picked up the prescription.
If you have questions about your EOB or the total out-of-pocket maximum, contact HealthSelect customer service toll-free at (866) 336-9371.