Medical/Prescription Drugs
Your State Medical/Prescription Drugs Plan

CVS Caremark will be the pharmacy benefit manager for individuals enrolled in a State of Delaware non-Medicare health plan, administered by Highmark Delaware or Aetna effective July 1, 2021. It is important to remember:

• Prescriptions CAN be filled at Walgreens, Rite-Aid, CVS and other retail pharmacies.
• The current copay structure will NOT change.
• Prescription drug savings programs for generic, maintenance, mail order and diabetic medications/supplies will remain in place.
• You must present your NEW CVS Caremark ID Card to get your prescriptions on and after July 1, 2021.

Medicare-eligible retirees will transition on January 1, 2022. More information will be provided to Medicare members during 2021 Fall Open Enrollment.

The links below briefly highlight your available plan options offered by the State. For more comprehensive information, refer to your open enrollment booklet and other materials available online at dhr.delaware.gov/benefits/.

Highmark Health Plans - https://dhr.delaware.gov/benefits/education/highmark.shtml

Aetna Health Plans - https://dhr.delaware.gov/benefits/education/aetna.shtml

CVS Caremark - https://dhr.delaware.gov/benefits/cvs/index.shtml

For more details about how eligible expenses are covered, refer to your Summary Plan Description, available online at https://dhr.delaware.gov/benefits/education/index.shtml

CVS Caremark Customer Service: (833) 458-0835

Coverage for Adult Children Under Age 26 Effective July 1, 2011

Effective July 1, 2011, the State Group Health Insurance Plan (GHIP) will include coverage for adult children up to age 26. Your adult dependent children may be enrolled in the plan, up to age 26, with no requirement or restriction on marital, employment, student, resident or tax status. In other words, you may enroll an otherwise eligible adult child, up to age 26, whether or not the child is married, employed, a student, a tax eligible dependent or living with you.* Coverage of eligible adult children may continue until the end of the month in which the adult child turns age 26.

* The new federal health insurance law relating to dependent coverage of children requires the State of Delaware to offer group health coverage to an employee's children who have not reached age 26.

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