Use the plan’s “Real-Time Benefit Tool” (using the Prescription Web Portal by Caremark available on My Clover member portal or by calling Member Services for more information). With this tool you can search for drugs on the “Drug List” to see an estimate of what you will pay and if there are alternative drugs on the “Drug List” that could treat the same condition. To access the tool on the My Clover member portal, go to cloverhealth.com and click on the purple ‘My Clover’ button. You will then be taken to the Member Portal login page.
Clover Health Formulary Directory
Clover Health members are eligible to receive up to 100-day supplies of their maintenance medications, limitations and exclusions apply. Members may speak with the doctor if prescriptions need to be updated.
Clover Health Members Services: 1-888-778-1478 (TTY 711), 8am – 8pm local time, 7 days a week. From April 1st through September 30th, alternate technologies (for example, voicemail) will be used on the weekends and holidays.
Important Message About What You Pay for Insulin - You won’t pay more than $35 for a one-month supply of each insulin product covered by our plan, no matter what cost-sharing tier it’s on, even if you haven’t paid your deductible (if applicable).
Important Message About What You Pay for Vaccines - Our plan covers most adult Part D vaccines at no cost to you, even if you haven’t paid your deductible (if applicable). Call Member Services for more information. Clover Health Member Services: 1-888- 778-1478 (TTY 711), 8am-8pm local time, 7 days a week. From April 1st through September 30th, alternate technologies (for example, voicemail) will be used on the weekends and holidays.
Clover Health Non-Discrimination Notice