First Health Part D Medicare

Prescription Drug


Delta DentalWEBSITE

TOLL FREE 1-888-736-3133 — Contact First Health at this number to set up an EFT


First Health Part D is an optional Medicare Part D prescription drug component.  This plan is being offered to you by the State of Kansas and provides a level of benefits not available on standard Part D plans found on the private market.

For questions concerning First Health Part D coverage, members should contact First Health Part D Customer Care representatives at 1-888-736-3133. The benefit specialists are available from 8:00 a.m. to 8:00 p.m. Monday - Friday.  They can assist with questions regarding the transition to your new plan, drug cost estimations and answer any questions you may have.

First Health Part D Overview

First Health Part D will generally cover the drugs listed in their formulary as long as:

  • The drug is medically necessary
  • The prescription is filled at a Network pharmacy, and other coverage rules are followed.
  • First Health Part D does not pay for drugs that are covered by Medicare Part B, such as:
  • Drugs usually supplied by and administered in your doctor’s office (such as chemotherapy drugs)
  • Drugs used with durable medical equipment (DME) that you obtained through DME services, such as respiratory drugs given through a nebulizer
  • Some immunosuppressive drugs (if you had a Medicare covered transplant) and some oral anti-cancer drugs
  • Drugs provided in Hospital Outpatient Departments and drugs such as erythropoietin (EPO) if you are undergoing dialysis

REMINDERS

In order to participate in Medicare Part D, you must enroll in only one of the Part D plans.  Once you are enrolled in a plan (either through the State Employee Health Plan or the private market), if you enroll in another Medicare Part D plan at a later date, you will be automatically dis-enrolled in the previous plan enrollment. If you are enrolled in a Medicare Part D plan that is coupled with other health insurance, enrollment in a subsequent Part D plan may result in loss of your health insurance benefits.