Member Cost Share Reimbursement Update

Effective Jan. 1, 2021, we are launching the Accumulator Adjustment Medical Benefit program for commercial plans. This program helps align employer specialty medical drug costs with members’ out-of-pocket costs and deductibles. It requires you to submit member cost-share reimbursement information, received from drug manufacturers when coupons or copay cards are submitted for specialty medical drug claims, through a two-step process. You can review the process and all the Accumulator Adjustment Medical Benefit program details on UHCprovider.com.

Questions? Please contact your Provider Advocate.