If you’re in a Dean Advantage plan and you have complex health needs, you may be able to participate in a Medication Therapy Management (MTM) program. MTM helps you and your prescriber make sure that your medications are working. It also helps identify and reduce possible medication problems.
The MTM program is a service offered by Dean Health Plan at no additional cost to you. These services are provided in line with CMS guidelines and are not considered a benefit.
1. Have at least three of the following conditions or diseases:
2. Take at least eight covered Medicare Part D medications.
3. Are likely to have greater than $4,696 per year in covered Medicare Part D medication costs.
You will be automatically enrolled in this program if you are in a drug management program that defines a specific drug dose, pharmacy or doctor.
To help reduce the risk of possible problems, our MTM program offers two types of clinical review:
If you meet these criteria, we will send you a letter informing you that you qualify and are automatically enrolled in the program. This letter will include general information about the MTM program, provide instructions to contact the MTM program and how to opt-out. If you would like more information about this program or you do not wish to take part in the MTM program, please call Member Services at 1-877-232-7566 (TTY: 711).