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Member Benefit Information

Keystone Mercy members younger than 21 years of age have medically necessary prescription coverage. Some members 21 years of age or older may have prescription coverage. For members over the age of 18, co-pays may apply to prescriptions. Please see the “Member Co-Payment Schedule” on the separate sheet you received with this handbook. You may also call Member Services to find out what pharmacy benefits you are eligible to receive or to request a list of pharmacies in your area.

How the Prescription Benefit Works

When you need medicine or over-the-counter items, your health care provider will write a prescription for you to take to the pharmacy. If you need help finding a Keystone Mercy network pharmacy, call Member Services. If you are going on vacation and have questions about getting your medicine, call Member Services to get help.

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