| Reminders
COVID-19 Vaccine Roll-out Update
It is normal to have questions, as more and more of our members receive any of the three vaccines that were granted Emergency Use Authorization (EUA) by the U.S. Food & Drug Administration (FDA). To learn more about EUA of COVID-19 vaccines, visit the FDA’s website.
Even if you’ve been fully vaccinated, it’s important to continue to take precautions to ensure the health and safety of those who aren’t yet vaccinated. According to the Centers for Disease Control and Prevention (CDC), people are considered fully vaccinated:
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Two (2) weeks after their second dose of the Pfizer or Moderna 2-dose series of vaccines, or
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Two (2) weeks after the single-dose Johnson & Johnson Janssen vaccine
Please remember, if you received the Pfizer or Moderna vaccine, it is important to get both doses.
If you have more questions, visit our webpage dedicated to COVID-19. You can also visit cdc.gov, and: |
Medicare's Extra Help Program Lowers Prescription Drug Cost Share
Members with limited income and resources may be eligible for a Low Income Subsidy (LIS) through Medicare, commonly referred to as the Extra Help program. If you qualify for this program, your prescription drug deductible and copays are lowered, helping you to continue receiving the medical treatment(s) you need. Extra Help also counts toward your out-of-pocket costs.
To see if you qualify for Medicare’s Extra Help program, you can:
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Apply online with the Social Security Office
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Call 1-800-MEDICARE (1-800-633-4227), 24 hours a day, 7 days a week. TTY users may call 1-877-486-2048
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Call the Social Security Office at 1-800-772-1213, Monday–Friday from 7 a.m. to 7 p.m. TTY users may call 1-800-325-0778
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Visit your state Medicaid office
For more information about Medicare’s Extra Help program, visit Ascension Complete’s dedicated webpage.
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Save Money and Lower Your Drug Costs Using $0 Tier 6 Generic Drugs
If you have a chronic medical condition like diabetes, high cholesterol or high blood pressure, you likely take medication on a daily basis. At Ascension Complete, we are always working on ways to lower your prescription drug costs. That’s why we’ve grouped the most frequently used generic drugs for these common conditions into one tier of our List of Drugs (Formulary). Better still, these generic drugs are available at our network retail and mail order pharmacies for $0. We call these our Tier 6 Select Care drugs.
We’ve also made it easier to find out if your drugs are included in our $0 Select Care tier. Now you have more ways to search our List of Drugs. At the top of the Ascension Complete website, select Pharmacy Benefits, then click List of Drugs (Formulary).
Once you’ve navigated to our List of Drugs page, use the Search Tool to type in your drug name, which provides quick access to specific details. You also can review the complete drug list, in PDF format, to find information about the drugs you take—whichever is easiest for you!
How to Use the Search Tool
Once you select the Search Tool option, there are a few ways to find your specific drug(s):
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Click on the first letter of your drug’s name in the alphabetical search section
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Type its full name in the search box
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Or click its therapeutic class (group of similar drugs used to treat a medical condition)
The resulting page displays information about your drug, including generic (listed in italics) or brand name (CAPITALIZED), along with its therapeutic class, strength, tier status, and any notes, restrictions or alternatives. |
Using the PDF
Additionally, you can choose to open the comprehensive PDF to search for your drug’s name—either alphabetically in the index in the end/back of the PDF, or by its therapeutic class. You can print pages of the PDF and take them with you to discuss available drugs with your doctor or pharmacist. For reference, the images below are examples of how drugs appear in the PDF.
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Mail Order Pharmacy
Another possible way to save money is to use our Mail Order Pharmacy. You may be able to receive up to a 90-day supply of a drug for chronic or long-term conditions at a reduced copay. This does not apply to all drugs.
Mail order pharmacy drugs are delivered right to your home, saving you time and trips to your retail pharmacy. While many drugs are available through mail order, there are some drugs that are not eligible. Drugs that are not available are listed with an “NM” in the Requirements/Limits column of the List of Drugs.
Questions?
We’re here to help! For any questions about our List of Drugs, or our Mail Order Pharmacy, please contact Member Services. The phone number for Member Services is also located on the back of your member ID card.
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Are You Looking for a Better Experience with Your Health Plan?
Completing your Health Risk Assessment (HRA) is one of the most important steps you can take for yourself as an Ascension Complete member. With this information, you’ll receive better access to the care you need. We understand that there are many who are not comfortable with sharing their health history with us. We understand that you may hesitate sharing your health history with us. Be assured that this information is only reviewed by our Care Management team to help connect you with the right resources and programs to best serve your current health needs. In some cases, you may work one on one with a Care Manager to create a personalized care plan to improve your health and wellness. The HRA is a great tool to get you connected to the care and support you need to be and stay healthy.
If you have not completed your Ascension Complete HRA, please do so using one of the four ways below:
From October 1 to March 31, you can call us 7 days a week from 8 a.m. to 8 p.m. From April 1 to September 30, you can call us Monday through Friday from 8 a.m. to 8 p.m. A messaging system is used after hours, weekends and on federal holidays.
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Using Your Welcome Kit as a Guide
Your Welcome Kit is one of the most important tools you will receive from us that helps you get the most out of your Ascension Complete health plan. We want you to use this as a reference tool. Historically, have not been sending Welcome Kits to members who renew with us during the Annual Election Period. However, given the important information that this kit provides, moving forward, we have implemented a procedure where all members – new and renewing – will receive a Welcome Kit every year.
In your Welcome Packet, you will find:
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How to get started
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Important health plan documents and where to find them online
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How to save money when using specific benefits
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Your Extra Benefits and how to use them
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Important terminology
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How to pay premiums, if you have one
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And more…
If you have not received your Welcome Packet, we’re happy to mail one to your home address. You can request one online by completing this form, which can also be found within the Contact Us link, located at the bottom of the page on our website. Just select “Member” and complete the form. You can also call Member Services to request a Welcome Packet. The phone number for Member Services is located on the back of your member ID card.
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Earn Money Each Year with Your My Health Pays® Rewards Program
Great news! Ascension Complete gives you the opportunity to earn money through our My Health Pays® Rewards program. With our My Health Pays® Rewards program, you can reach your health goals and earn money by completing routine preventive care and screenings. It’s that easy! Below are some ways you can earn money and stay healthy at the same time. Start earning today!
Reward Amount |
Qualifying Healthy Activity |
$15 |
Breast Cancer Screening |
$15 |
Ongoing Diabetes Care* |
$100 |
Annual Wellness Visit |
$25 |
Statin therapy medication |
$15 |
Colon Cancer Screening** |
Requirements for earning rewards – All rewards are limited to one of each preventive care and screenings per calendar year.
*Ongoing Diabetes Care: Rewards can be earned for completing the preventive diabetes care activities below:
Reward Amount |
Qualifying Ongoing Diabetes Care |
$15 |
Kidney Screening (urine protein test) |
$15 |
HbA1c test |
**Colon Cancer Screening: Your reward will depend upon the type of screening your doctor recommends. Only one test per year will be rewarded. Below are a list of screening types and reward amounts available for qualifying colon cancer screenings:
Reward Amount |
Qualifying Colon Cancer Screening |
$15 |
Colonoscopy |
$15 |
Flexible Sigmoidoscopy |
$15 |
Fecal Occult Blood Test (FOBT) |
$15 |
Fecal Immunochemical Test (FIT) |
$15 |
Stool DNA Test |
It Pays to Stay Healthy
You will receive your My Health Pays® Visa® Prepaid Card when you complete your first preventive care or screening visit. Each time you complete a qualifying healthy activity we’re notified by your doctor’s claims submission for your date of service and your reward will be added to your existing card. It’s that simple!
Don’t forget to keep your card! |
Have questions?
Learn more on our dedicated Rewards webpage or call Member Services. Our Member Services telephone number is on the back of your ID card. From October 1 to March 31, you can call us 7 days a week from 8 a.m. to 8 p.m. From April 1 to September 30, you can call us Monday through Friday from 8 a.m. to 8 p.m. A messaging system is used after hours, weekends and on federal holidays.
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The CAHPS Survey: Help Improve Your Member Experience
The Agency for Healthcare Research and Quality has developed a standardized, national survey that measures your experience with your health plan, including:
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How long it takes to see your providers
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How well your doctors communicate
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How you rate your health plan
In the coming weeks, you may be asked to complete a survey from an Ascension Complete business partner, Symphony Performance Health (SPH) Analytics by mail or by phone. The survey, known as the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) survey, allows us to hear from you on how we are doing.
This survey is completely confidential, which means your personal information is not saved with the survey. The survey does not go to everyone. A randomized list of members in your region will be selected to take the survey. If you are selected, your responses will help us identify areas for us to improve. This is a great time to tell us what’s working and what’s not so we can get it right. We hope you take this opportunity to share your thoughts with us.
Have questions or concerns?
Ascension Complete is here to answer any questions you may have. To contact us, be sure to call us at the phone number on the Contact Us page. Or, you can send a secure email to us through the member portal. |
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