How to Fill Your Prescription

Blue Cross Blue Shield of Wyoming has over 55,000 pharmacies in our network to make filling your prescription fast and easy, but how can you decrease unnecessary out-of-pocket expenses when it comes to your medications?

Here are some tips that can help you save money on your prescriptions.

Contents

Register with MyPrime

Registering with MyPrime is easy and only takes a few minutes! You will need to have your Blue Cross Blue Shield of Wyoming insurance card with your Member ID number.

Once you have registered and sign in with the username and password you create, the tools on the website will be tailored to you and your insurance coverage.

Prime Therapeutics (Prime) is an independent company that administers the pharmacy coverage for Blue Cross Blue Shield of Wyoming members in a role known as a Pharmacy Benefit Manager.

Ask your doctor about generic medications

Don’t be afraid to ask your doctor about generics. Generic medications are considered to be comparable to brand name medications in many ways. Ask your doctor to write prescriptions allowing substitution with a generic, if available. Taking generics is one of the most important things you can do to control costs.

Not only do generics save you money at the pharmacy (sometimes more than 85%), but they help hold down insurance premiums in the future. Use the Drug Cost Estimator to see the difference in cost for your brand name medication and its generic option.

Check the Preferred Drug List

When your doctor prescribes a medication, he or she should try to use medications that are included on the Preferred Drug List (also known as the Formulary or Prescription Drug List). Medications on this list have been selected to give you the best results while saving you the most money. You can use a medication that is not on the list, but you may pay more.

Check to see if the medication needs to be pre-certified

Certain medications may need to be pre-certified before they will be paid for by your health care coverage. If you do not have necessary pre-certification, it may result in a denial or reduction in the coverage for your medication. You should review your benefit document for details about pre-certification.

If a medication on the Preferred Drug List needs to be pre-certified (pre-authorized), there will be a column indicator. All medications on the Specialty Pharmacy Drug Management List need to be pre-certified.

Use an in-network pharmacy

In order to get the most from your insurance coverage, choose a pharmacy that is in our network. This will make filling your prescription easy and help you avoid unnecessary out-of-pocket expenses.

Use your membership card at the pharmacy

At a participating pharmacy simply show your BCBSWY member identification card to the pharmacist. Your prescription benefits will be applied automatically so you know right away what costs may be your responsibility. This service helps decrease unnecessary expenses and does away with the need to file a paper claim and wait for reimbursement.

When you use a pharmacy that is not in our network, you pay the full cost of your prescription up front. You will also have to submit a claim to get reimbursed. Reimbursement for prescriptions filled at non-network pharmacies is not guaranteed.

Use the Mail-Service Pharmacy Program

Home Delivery can offer added convenience, savings and services when it comes to filling your long-term medications.

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How to Find a Provider

Because you have health insurance from Blue Cross Blue Shield of Wyoming, you now have access to provider networks that are unmatched by any other insurance company.  Our networks provide:

  • Access to over 98% of Wyoming providers and 100% of Wyoming hospitals.
  • Access to over 96% of hospitals and 98% of physicians nationwide.
  • Access to doctors and hospitals in over 170 countries and territories around the world.

What does this mean for you?

In order for health insurance plans to provide quality, affordable care, they contract with providers. The providers (health care professionals and medical facilities) that have a contract with the insurance company form a network.

To get the most from your coverage with the least amount of out-of-pocket expenses, you should get care from providers within the network.

Blue Cross Blue Shield of Wyoming has networks within our state, but because we are part of a larger system, our members have access to network providers who have contracts with Blue Plans across the country. This access is provided through a program called BlueCard®. There are even network providers available when you travel outside the country with Blue Cross Blue Shield Global® Core!

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How to Grant Authorizations

Each person’s health information is personal and sensitive and protecting this information is extremely important. Federal laws govern who has access to personal information and how it is used. Therefore, permission is required before any of your protected health information can be released to someone other than you. 

What is Authorization?

Authorization is giving permission for someone to access and manage your personal health information. 
Authorized users can:

  • Access and manage your information on the phone
  • Act on your behalf when they contact Member Services

You can grant authorization to others by completing the HIPAA Authorization to Release Information  form.  A covered family member age 18 or older will also need to complete the HIPAA Authorization to Release Information form to grant others permission to access their personal health information.

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How to Use Your Health Insurance

These tips and resources will help you get the most from your BCBSWY plan. You can find all the details about your insurance coverage in the Benefit Booklet.

Contents

Use your preventive care benefits

Your plan includes preventive care benefits that may include screenings, well-patient care and immunizations. Typically, when you receive those services through a network provider, you won’t have to pay any out of pocket costs.

Depending on your age, you might have access to:

  • Free blood pressure, diabetes and cholesterol tests
  • Mammograms, colonoscopies, pap smears and other cancer screenings
  • Flu and pneumonia shots
  • Well-child visits from newborn to age 21

Use generic drugs

Ask your physician to write prescriptions permitting substitution of a generic drug, if available. Taking generic drugs is one of the most important things you can do to control costs. Not only do generics save you money at the pharmacy (sometimes more than 90%), but they help hold down your insurance premiums long-term as well.

Consult the preferred drug list

If a brand is required, physicians are encouraged to consider medications listed in the Preferred Drug List (PDL). The PDL, or Formulary, represents recommendations of our Pharmacy and Therapeutics (P&T) Committee. The P&T Committee includes practicing physicians and pharmacists dedicated to identifying high-quality, cost-effective drug therapy. All medications are reviewed and selected after consideration of safety, effectiveness, uniqueness and cost. The Preferred Drug List is updated quarterly and can be located at: bcbswy.com/pharmacy/.

Stay in network

Use a doctor who has a participation agreement with BCBSWY. You’ll pay less for the service and it helps keep insurance premiums down. Staying in network shouldn’t be difficult. BCBSWY has the largest network in Wyoming; more than 90% of the state’s providers participate with BCBSWY.

Save the emergency department for emergencies

When your condition is not a true emergency, use walk-in clinics or schedule same-day appointments. Use of the ED is more expensive when you’re treated there, plus overuse of ED services contributes to higher health care costs. Learn More

When choosing insurance, consider all your costs

The lowest insurance premium is often not the lowest overall cost when you consider all your out-of-pocket expenses. Weigh your total cost of health insurance with your BCBSWY Agent.

Set money aside for your deductible

If your insurance deductible is $1,000, that means you must pay the first $1,000 out-of-pocket before your plan pays for any covered services.

Check on tax deductions

Check with your tax preparer about tax deductions for health care expenses that might apply to you.

Be an informed buyer

Consume health care as thoughtfully as you would any other large purchase.

  • Be aware of the true cost of medical care
  • Respectfully question tests and procedures-ask what they are for, what you’ll learn or if there is an alternative; get a second opinion when appropriate

Most of us don’t really know the true cost of the care we receive. That’s because we do not directly pay the full bill, but rather just our portion (copayment, deductible, coinsurance), which is usually just a percentage of the actual cost. Consequently, we’re sometimes not as careful about how the money is spent.

Life changing events

If you have an Individual or Family plan, a change in your life could make a difference to the health care coverage you have and may change your eligibility for cost assistance from the federal government. A life event can include gaining a new dependent as a result of getting married or having a baby, or it can mean losing other health coverage due to divorce or death of a spouse. Your benefit document provides specific details about what is considered a life event. If you have a life changing event, be sure to contact your BCBSWY Agent for assistance. If you have healthcare coverage through your work, be sure to contact your employer with information about your life changing event.

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Member How To's

We are happy that you have chosen us to provide health care insurance for you.

At BCBSWY, it’s not just about premiums and deductibles. We care about the quality of care you receive and want to help you get the most from your coverage. Here, we have put together a list of “How To’s” that will be helpful whether you have had health insurance before or are new to having coverage.

How to Register Your Member Account

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How to Access Your ID Cards

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How to Pay Your Bill

Watch here for a quick video on paying your bill on YourWyoBlue.
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How to Understand Your Insurance Terms

Glossary of terms and basic examples of how health insurance works.

How to Grant Authorizations

Each person's health information is personal and sensitive and protecting this information is extremely important.

How to Contact Us

Send us a message with your comments or questions.

How to Protect Yourself Against Insurance Fraud

Guidelines from Blue Cross Blue Shield.

Ways to Pay

If you purchase your own health insurance, making a premium payment has never been so easy.

What’s Inside YourWyoBlue

Fast. Easy. Anytime. Your member site makes it easy to manage your account.

How to Use Your Health Insurance

These tips and resources will help you get the most from your BCBSWY plan.

How to Fill Your Prescription

Blue Cross Blue Shield of Wyoming has over 55,000 pharmacies in our network to make filling your prescription fast and easy.

How to Find a Provider

Find a doctor, dentist, hospital or other health care professional.

How to Add a Family Member to Your Coverage

Marriage? New child? Add them to your plan.

How to Understand Your Claim

Learn the claims process.

What to Expect Once You Enroll

Once you’re a member of BlueSelect, here’s what you can expect.

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Still Need Help?

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Member Centers

BLUE CROSS BLUE SHIELD OF WYOMING

Home Office

4000 House Avenue
Cheyenne, WY 82001

(307) 634-1393

Toll-free: 1-800-442-2376

Hours of Operation: M-F 8 AM to 5 PM

Find a Member Center Near You

Casper Member Center

231 East Midwest Avenue
Casper, WY 82601

(307) 234-2649

Cheyenne Member Center

315 E 7th Avenue
Cheyenne, WY 82001

(307) 634-1393
1-800-442-2376

Cody Member Center

1909 17th Street, Unit C
Cody, WY 82414

(307) 527-7564

Gillette Member Center

405 W Boxelder Road, Suite B5
Gillette, WY 82718

(307) 682-5001

Jackson Member Center

1160 Alpine Lane, Suite 1E
Jackson, WY 83001

(307) 733-3909

Laramie Member Center

2900 Grand Avenue, Suite 3
Laramie, WY 82070

(307) 745-5386

Riverton Member Center

325 W Main, Suite E
Riverton, WY 82501

(307) 856-4063

Rock Springs Member Center

2620 Commercial Way, Suite 110
Rock Springs, WY 82901

(307) 488-9053

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Rx Tools for Members
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Contact Us

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Member Forms

Forms for Members

Download and print commonly used forms. All forms are in PDF format. Download Acrobat Reader.

Dental Claim FormUse this form to file a claim for dental servicesDownload Form
Medical Claim FormUse this form to file a claim for medical services, such as office visits, physical therapy, laboratory service, and radiology services such as X-rays.Download Form
Prescription Drug Claim FormIf your plan includes the prescription coverage and you are unable to have a prescription claim filed by the pharmacy, use this form to submit a claim for prescription benefits.Download Form
Vision Claim FormIf your plan includes vision care, use this form to file a claim for services from providers who are out of network. Download Form
Cancel Spouse or Dependent CoverageThis form notifies us to cancel existing coverage for a spouse or dependent.Download Form
Change Notification FormComplete this form if your name changes through marriage or other event, or if your mailing address changes.Download Form
Continuity of CareThis form is used to request Continuity of Care as outlined under No Surprises Act.

Additional Information

Download Form

Continuity of Care for Enrollees Authorization Transfer RequestThis form is used to request transfer of authorization from a previous insurance carrier to BCBSWY.Download Form
Dental Continuation of Care Request Form
This form contains important information about your dental health care provider’s status.Download Form
HIPAA Authorization to Release InformationThis form is used for a participant to authorize a release of personal health information including medical, FSA and/or HRA claims, enrollment and reimbursements.Download Form
Request for CancellationUse this form to cancel your coverage if your ID number begins with ZSD or ZSM.Download Form

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Our goal is to answer your inquiry within two business days, but additional time may be needed for requests requiring complex research or additional information. Confidential information will be responded to via telephone or postal mail.

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How to Use Your Health Insurance

These tips and resources will help you get the most from your BCBSWY plan.

How to Understand Your Insurance Terms

Glossary of terms and basic examples of how health insurance works.

How to Understand Your Claim

Learn the claims process.

Are you a Member of FEP?

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Rx Tools

Find important information on your prescriptions, including how to select a pharmacy, request prescription benefits, and more.

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