Pharmacy Benefits and Programs

More Options. Lower Costs

Banner Medicare Advantage is committed to affordable, high quality health care. We know that high costs of medications and finding time to pick them up can result in patients not getting prescriptions filled and/or refilled. We’ve created robust prescription coverage benefits to help our members get the prescriptions they need when they need them affordably.   

$0 Co-Pay Prescription Options

We’ve identified more than 35 commonly prescribed generic medications for complex and/or chronic medical conditions such as type 2 diabetes, high cholesterol and hypertension/high blood pressure to offer at $0 co-pay to Banner Medicare Advantage members.

Mail-Order Prescriptions

Thanks to Banner Family Pharmacy, you don’t have to spend time going to the pharmacy and waiting on a line to pick up your prescriptions. For one co-payment, we’ll send a 90-day supply right to your home - no shipping charges. And, mail order co-payments are generally lower than the co-pay at a retail pharmacy. And, when you sign up for home delivery for select medications you routinely take (i.e. diabetes, high blood pressure medications), your first co-pay will be $0. 

If you prefer to fill your prescriptions at a retail pharmacy in your community, we have an expansive list of participating pharmacies from which you can choose.

Extra Help Program

Medicare’s “Extra Help” Program is known as the Low Income Subsidy (LIS) Rider. If you qualify for extra help, you’ll get a LIS Rider or notice from Banner Medicare Advantage telling you how much help you’ll get next year towards your drug plan premium, deductible, and copayments.

As a member of Banner Medicare Advantage, you will receive the same coverage as someone who is not getting extra help. Your membership will not be affected by the extra help. This also means that you must follow all the rules and procedures in the Evidence of Coverage. You must also continue to pay your Medicare Part B premium.

Keep your notice with your Evidence of Coverage (EOC) booklet, so you can refer to it if you have questions about your costs. Medicare or Social Security will periodically review your eligibility to make sure that you still qualify for extra help with your Medicare prescription drug plan costs. Your eligibility for extra help might change if there is a change in your income or resources, if you get married or become single, or you lose Medicaid. You will be notified if your status changes.

If you have any questions about your LIS Rider, please contact our Customer Care Center.

Banner Medicare Advantage Prime

LIS Premium Summary     English | Español

Banner Medicare Advantage Prime

LIS Premium Summary     English | Español