Information about Ascension St. John Tulsa's prescription drug plan included with your medical coverage is available through the CommunityCare website.
The CommunityCare website has more information about your medical plan as well as about the online CommunityCare Member Connection secure website, which contains information about your current benefits.
Visit the CommunityCare website to learn more .
Use the contact information phone number, below for eligibility information.
Ascension’s prescription drug plan is automatically included with your SmartHealth medical coverage. In 2021, Cigna will continue to be your pharmacy provider.
Important pharmacy benefit and ID card information
A new ID card will be sent to you for Cigna's drug plan in 2021. Your new pharmacy ID card will arrive after the New Year.
If you need prescriptions filled after Dec. 31, 2020 and you have not received a new pharmacy ID card, register with and use the ABS member portal. You can use the member app as well.
An electronic copy of the new pharmacy ID card will be in the member portal and app for you to use.
Your new drug plan ID card is different from your medical card and your pharmacy ID card must be used when filling prescriptions. You cannot use your medical ID card to fill a prescription.
You can only access and download the app on a mobile device, not a desktop computer.
If you are already registered on the ABS online portal, you’re ready to use the app. You do not need to reregister. Simply log in to the app with your current member portal username and password.
If you aren’t registered on the ABS online portal, you must register to access both the app and the online portal.
To register on the app:
If you need assistance accessing the portal please email abssupport@ABS-TPA.com or call 586-693-4393.
Important pharmacy benefit documents and more
To obtain medications or refills through the mail order program please call 1-855-281-8312.
Pharmacy out-of-pocket costs
Rx Costs with the HDHP 3000/0
If you choose the high deductible health plan—the HDHP 3000/0—you pay the full cost of prescriptions until you meet your deductible ($3,000 individual/$6,000 family). Once you reach your deductible, your prescriptions are covered 100% for the remainder of the year.
Prior authorization and step therapy
Specialty medications typically are high cost and used to treat chronic complex medical conditions. They also may be drugs that are difficult to administer or have special handling, shipping and storage requirements. They are often self-injected to treat conditions such as rheumatoid arthritis, multiple sclerosis, psoriasis, cystic fibrosis, cancer, or hemophilia.
For specialty pharmacy, please have your doctor or provider fill your prescription through Ascension Rx, if available in your state. Currently, Ascension Rx specialty pharmacy is available in the following states:
*Please have your doctor or provider contact your local Ascension Rx pharmacy.
Ascension Rx speciality pharmacy operating hours are Monday-Friday, 9 a.m. - 5 p.m. ET; however, there is a pharmacist on call 24/7. For more information, please call Ascension Rx specialty pharmacy at 855-292-1427.
If the health ministry does not have a pharmacy, contact Ascension Rx specialty pharmacy at 855-292-1427.
|Submitting your medical specialty claims|
|Ascension Network (Tier 1) providers should submit their medical specialty claims through ABS.
Please include the National Drug Code (NDC) when submitting your claim, along with items listed in our claim’s filing procedures page included this manual.
Submit paper claims to:
ABS for SmartHealth
PO Box 37705
Oak Park, MI 48237-7705
Submit claims electronically
Submit under Payer ID 38259 with one of the following EDI clearing houses currently contracted:
CAREVU, AllScripts, Web MD/Envoy, THIN, MCSI, ENS, ProxyMed, claimsnet.com, McKesson and NDC.