Transitioning to a New Year - Information for Members

Publish Date

As we get ready to begin a new year, your clients may have questions about where to find information regarding their plan. These are some of the topics members may have questions about: 


Weight Management Reimbursement 

  • The Weight Management reimbursement form for 2022 eligible costs need to be received by CarePartners of Connecticut by March 31, 2023.  
  • The 2023 Weight Management reimbursement form (for 2023 eligible costs) will be available on our forms page beginning in January, 2023.  


Wellness Allowance Reimbursement 

  • Applies to CarePartners of Connecticut CareAdvantage Preferred (HMO) plan only
  • The Wellness Allowance reimbursement form for 2022 eligible costs need to be received by CarePartners of Connecticut by March 31, 2023.  
  • The 2023 Wellness Allowance reimbursement form (for 2023 eligible costs) will be available on our forms page beginning in January, 2023.  


Over the Counter (OTC) benefit 

  • Details on how to use the OTC benefit, including quarterly amounts by plan, are available here. 
  • In 2023, CarePartners of Connecticut Medicare Advantage plan members get an increased quarterly allowance to spend on Medicare-approved health-related items at participating retail stores:
    • CarePartners of Connecticut HMO plan members will have $50 per calendar quarter to spend on over-the-counter health items (an increase from $35 per calendar quarter in 2022)
    • CarePartners of Connecticut PPO plan members will have $65 per calendar quarter to spend on over-the-counter health items (an increase from $50 per calendar quarter in 2022) 
  • As a reminder, members will receive new OTC cards in December

 

PBM change

  • Beginning January 1, 2023, CarePartners of Connecticut is partnering with a new Pharmacy Benefit Manager (PBM), OptumRx, to administer our pharmacy benefit. 
  • Members will receive new ID cards in December because of the PBM change
  • The OptumRx retail pharmacy network has more than 67,000 pharmacies nationwide, including CVS Pharmacy and many others that CarePartners of Connecticut members currently use. 
  • Members can search for an in-network pharmacy at carepartnersct.com/pharmacy-search
  • Beginning January 1, 2023, Walmart, Rite Aid, and Stop & Shop pharmacies will be part of our preferred pharmacy network 


New Members

  • New members will receive their new member kits which include the helpful Welcome Guide in early 2023
  • New members should receive their CarePartners of Connecticut ID cards before their coverage begins on January, 1, 2023.  

 

Questions
Members that have any questions about their plan can call Member Services at:
HMO members: 1-888-341-1507 (TTY: 711)
PPO members: 1-866-632-0060 (TTY: 711) 
or visit carepartnersct.com