UnitedHealthcare® administers the HealthSelect Medicare Rx (PDP) plan. If you became eligible for Medicare during the year, please follow ERS’ instructions for enrolling in this plan.
Collecting Co Pays Upfront
On the “tier” of the medication and the amount of medication you’re getting, which we determine by days of supply. There is an annual medication copayment cap. Tiered copay plans. Plan highlights. $0 virtual care and telehealth services – Covered in full before deductible; Diabetic coverage – Certain diabetic supplies purchased through a participating DME provider are covered at 100% before deductible and preferred insulins are covered at the Tier 1b prescription drug tier.
Learn about the enrollment process»
Get an overview of your plan benefits and costs, and find detailed information about additional coverage and benefit services.
HealthSelect Medicare Rx (PDP)
provided through Employees Retirement System of Texas
View 2021 plan details
- Plan Guide(PDF)(1.1 MB)
Includes:- Summary of Benefits
- Drug List
- Additional Drug Coverage(PDF)(69.6 KB)
- Comprehensive Formulary(PDF)(583.1 KB) Updated 5/2021
- Evidence of Coverage(PDF)(1.3 MB)
Prescription drug costs
HealthSelect Medicare Rx has tiered copays. Many generics medications are in Tier 1 and have the lowest copay. Many name-brand drugs are in Tier 2 and have a higher copay. Tier 3 drugs have the highest copay and are generally non-preferred medications. Please see the copay chart below for more information.
Benefits and costs | HealthSelect Medicare Rx (PDP) |
|---|---|
Prescription Drug Deductible Amount | $50 deductible |
Standard Retail Cost-Sharing | Up to a 30-day supply non-maintenance Tier 1: $10 copay Tier 2: $35 copay Tier 3: $60 copay Up to a 30-day supply maintenance Tier 1: $10 copay Tier 2: $45 copay Tier 3: $75 copay |
Extended Days Supply (EDS) Retail Pharmacy and In-network Mail Order | Up to a 31 - 60-day supply Up to a 61 - 90-day supply |
Mail Order Cost-Sharing | Up to a 31 - 60-day supply Up to a 61 - 90-day supply |
Prescription drug lookup
Find out if the prescription drugs you take are covered by your plan. You'll need your prescription information, dosage and frequency. Use this tool to determine your prescription's copay tier:
- See if my medication is covered »
Drug list
Your plan can help you save money on prescription drugs. Medicare and your plan pay part of your drug costs, and you pay the rest. View the drug list with thousands of brand name and generic prescription drugs.
Prescription drug materials
- Plan Guide(PDF)(1.1 MB)
Includes:- Summary of Benefits
- Drug List
- Additional Drug Coverage(PDF)(69.6 KB)
For instructions on how you can submit your prescription to the mail order pharmacy, please review the mail order brochure(PDF)(272.5 KB) (which includes the mail order form). Some participating HealthSelect Medicare Rx retail pharmacies are part of the Extended Days Supply (EDS) Retail Pharmacy and In-network Mail Order and will fill a long-term medication (31- to 90-day supply) at the same co-pay as the mail order pharmacy. For a listing of the pharmacies in this network, please click on the EDS Pharmacy List (PDF)(161.8 KB).
Pharmacy network
There are more than 67,000 pharmacies in our network. See if your pharmacy is in network»
Additional benefits information
Silverscript Tier 3 Cost
- Medication Therapy Management Program»
- Prescription Drug Transition Process»
- Help with Medicare Prescription Drug Costs»
How to Register(PDF)(734.0 KB)
Tiered Copay Prescription System
Questions? We're here to help.
Tiered Copayment Definition
FAQs (119.9 KB)
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