5 tips to make the most of your ACA plan’s pharmacy benefits

A UnitedHealthcare Individual & Family ACA Marketplace plan includes ways to save money on your prescription medication costs. Follow these 5 tips to help you get the most out of your pharmacy benefits.

Know your medications’ tiers

Prescription medications are categorized into tiers, or groups of medications categorized by cost. Your out-of-pocket cost is based on which tier your medication is in. It’s a good idea to check your medication costs when shopping for a plan so you can understand what your out-of-pocket costs might be. To do that, you’ll need to access the plan’s Prescription Drug List (PDL).

Use your plan benefits

With a UnitedHealthcare Individual & Family plan, you can visit any network pharmacy for a 30-day supply of tier 2 prescriptions and pay $5 or less.¹ Tier 2 prescriptions are generally higher price generic and lower-price brand-name medications.

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Fill your prescription in-network

Fill your prescription at one of over 40,000 network pharmacies. By staying in-network you’ll save on out-of-pocket costs.

Have your prescription delivered

Pay $12.50 or less for a convenient 90-day supply of most tier 2 medications and get them delivered to your door for no additional cost,² helping save you time and money.

Save at Walgreens stores

Did you know? With a UnitedHealthcare Individual & Family plan you get 20% off Walgreens brand health and wellness products at any Walgreens location.³ Get a wide assortment of health and wellness products at a lower price, including Walgreens brand:

First aid products
Cough & cold over the counter medications
Allergy medications
Vitamins & supplements
And more

More resources

Learn more and enroll in UnitedHealthcare Individual & Family plans.

Open enrollment for 2024 coverage has ended. If you are looking for coverage outside of the open enrollment period due to a qualifying life event, you may qualify for a Special Enrollment Period.
Open enrollment for 2025 coverage begins November 1, 2024. Sign up to get reminders and helpful tips to help you prepare for enrollment.

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Footnotes

The following plan types do not offer $5 or less Tier 2 generic medications: Regulatory-required Standard/HSA Plans, Bronze & Silver Copay Focus Plans, and select State-Based Marketplaces (Maryland, Virginia and Washington). Pay a $5 copay or less for Tier 2 medications listed on the Prescription Drug List (formulary). Not available on all plans or in all states.
90-day fills apply to select maintenance medications only. Applicable formulary requirements such as prior authorization and quantity limits may apply to your pharmacy benefit.
Walgreens discount valid until 12/31/24. Discount valid only for in-store purchases of eligible Walgreens brand health and wellness products by current members eligible for the UnitedHealthcare discount program. Discount cannot be used online. For a full list of Walgreens brand health and wellness products and exclusions, please visit www.walgreens.com/smartsavings.

Disclaimers

UnitedHealthcare Individual & Family plans medical plan coverage offered by: UnitedHealthcare of Arizona, Inc.; Rocky Mountain Health Maintenance Organization Incorporated in CO; UnitedHealthcare of Florida, Inc.; UnitedHealthcare of Georgia, Inc; UnitedHealthcare of Illinois, Inc.; UnitedHealthcare Insurance Company in AL, KS, LA, MO, NJ, and TN; Optimum Choice, Inc. in MD and VA; UnitedHealthcare Community Plan, Inc. in MI; UnitedHealthcare of Mississippi, Inc.; UnitedHealthcare of New Mexico, Inc.; UnitedHealthcare of North Carolina, Inc.; UnitedHealthcare of Ohio, Inc.; UnitedHealthcare of Oklahoma, Inc.; UnitedHealthcare of South Carolina, Inc.; UnitedHealthcare of Texas, Inc.; UnitedHealthcare of Oregon, Inc. in WA; and UnitedHealthcare of Wisconsin, Inc. Administrative services provided by United HealthCare Services, Inc. or its affiliates.

The benefits described may not be offered in all plans or in all states. Some plans may require copayments, deductibles and/or coinsurance for these benefits. This policy has exclusions, limitations, reductions of benefits, and terms under which the policy may be continued in force or discontinued. For costs and complete details of the coverage, review your plan documents, call or write your insurance agent or the company, whichever is applicable. Plan specifics and benefits vary by coverage area and by plan category. Please review plan details to learn more. By responding to this offer, you agree that a representative may contact you.