A state of emergency has been declared related to the outbreak of novel coronavirus (COVID-19). If you are impacted and need assistance in obtaining medical service or prescription drugs, please contact Customer Service at 1-866-597-9560. If you are experiencing a medical emergency, please call 911.

Essence Healthcare is waiving all member related costs associated with the testing and treatment of confirmed or suspected COVID-19 cases from March 1st, 2020 forward. This includes any applicable co-pays, co-insurance, or deductibles that our members would have normally been responsible for. This waiver will be in effect until December 31, 2020.

Your over-the-counter (OTC) benefit is managed by Convey Health Solutions. Unfortunately, due to the COVID-19 pandemic, Convey is experiencing shortages of certain OTC items. Please visit the Convey website at www.essencehealthcareOTC.com for latest availability. You may also call Convey to place an order and if a specific item is not available, they can help you find an alternative solution. Their number is 1-877-494-2806. Please be assured that Convey is working diligently to refill their inventory. We apologize for any inconvenience this may cause and thank you for your patience.

Here's more information on managing stress during this time.


Pharmacy Benefits Overview

Every plan includes Part D prescription drug coverage to help with the costs of your medications. Details regarding what medications are covered can be found in the Drug Formulary and the Evidence of Coverage. You can access our drug formulary online.

It is important to remember that enrollment in our plan does not affect Medicare coverage for any drugs that may be covered under Medicare Part A or Part B. If you meet Medicare’s coverage requirements, your drugs will still be covered under Medicare Part A or Part B even though you are enrolled in Essence. See the Medicare & You Handbook for more information about the drugs that are covered by Medicare Part A and Part B.

Important Note: Essence members automatically receive their Medicare Part D prescription drug coverage from Essence. If you join another Medicare plan, including a Medicare prescription drug plan, you will be disenrolled from our plan when your enrollment in the new plan begins.

Y0027_20-322 - Last updated 01/30/2020