- Active Health
- Retiree Health
- DB Pension
- DC Pension
- SUB Plan
You are encouraged to use network pharmacies or the Citizens Rx Home Delivery service to fill your prescriptions. However, the Retiree Health Plan will reimburse you a limited amount for a prescription filled at a non-network pharmacy. This policy is intended for emergency purposes (e.g. traveling away from home). You may obtain up to a 30-day supply.
Non-network pharmacy claim forms are available from the Administrative Office or on www.scibew-neca.org. You will fill out one portion of the claim form. The pharmacy must fill out the rest of the form.
Completed claim forms should be mailed to:
1144 Lake Street
Oak Park, IL 60301
Claims will generally be processed within 30 days from the date the claim is received. You will be reimbursed based on a limited formula, less a $5 co-payment for each generic prescription and a $15 co-payment for each brand name prescription.
You must file your claim within 15 months of the date the prescription was filled.