You can access your Journey Rx drug claim history at any time to see how much you’ve spent and what drug coverage stage you’re in.
Register or log in to view claims and history.
About drug coverage stages
There are four drug coverage stages for your Journey Rx plan, and how much you pay for your prescriptions depends on which of the four stages you’re in. The amount you pay for your monthly premium does not count toward your drug coverage stage.
Stage 1 - Annual deductible stage
During this stage, you pay the full cost of your prescriptions until you meet your annual deductible. If your plan has a $0 deductible for certain tiers, coverage begins immediately (see stage 2).
Stage 2 - Initial coverage stage
This stage begins after you reach your annual deductible. During this stage, you pay a copayment or coinsurance for your prescriptions until you reach the initial coverage limit ($4,020 in 2020)*.
Stage 3 - Coverage gap stage (also called the donut hole)
This stage begins when you’ve reached $4,020 in 2020 in prescription costs. During this stage, you pay a portion of the drug costs and Journey Rx pays the other portion.
Stage 4 - Catastrophic coverage stage
During this stage, Journey Rx will pay most of the cost of your prescriptions for the rest of the calendar year. You reach this stage when you have paid $6,350 in out-of-pocket prescription costs.
Have questions about your claims history, or think something is missing?
If you receive an Explanation of Benefits with incorrect or missing information or see something incorrect or missing from your claims history, contact our customer service team for help.
*This amount may change every year on January 1.