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 2022, Cigna will continue to be your pharmacy benefit provider.
Important pharmacy benefit and ID card information
A new pharmacy ID card will be sent to you for Cigna's drug plan in 2022. Please note that this card is different from your medical card. To fill prescriptions, you must use your prescription ID card.
If you haven’t received your new card by December 31, 2021 and need prescriptions filled, you can continue to use your old card or download the new SmartHealth app to access a digital copy of your card.
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.
Switch to Ascension Rx to avoid paying the full cost out of pocket for specialty and maintenance prescriptions
The pharmacy benefit coverage is changing for SmartHealth members for specialty and maintenance prescriptions. Switch these medications to Ascension Rx today to avoid paying the full cost out of pocket. After January 1, 2022, these medications will only be a covered benefit when filled by Ascension Rx.Sign up for Ascension Rx online
*SmartHealth Flexible Copay program
Starting January 1, 2022, the cost-share for some specialty medications may increase, which could result in higher out-of-pocket costs. Because Smart Health is committed to ensuring our members receive the lowest out-of-pocket cost on these high-cost medications, we are pleased to introduce the new SmartHealth Flexible Copay program. This new benefit program works with drug manufacturer’s copay assistance programs to provide the lowest out of pocket cost to SmartHealth members who need these medications. There is no cost to participate.
If you have a high copay and would like to find out if you are eligible, call the SmartHealth Flexible Copay program at 1-833-980-2352 and select option 7 to get started.
Provider administered specialty medications or infusion therapies
(Your provider or physician's office must submit the prior authorization)
All physician-administered specialty medications or infusion therapies are subject to precertification notification or prior authorization (PA) approval. For a product list with current requirements, please see the medical specialty drug list. The file includes two lists:
1. Precert + PA: Complete list
2. PA required: List of products requiring PA - includes a link using Brand Name to prior authorization clinical criteria for use documents
Call 833-594-1845 to hear a recorded message which answers many frequently asked questions
Call 833-980-2352 to speak to a member of the Ascension Rx prior authorization team
Call 888-492-6811 to confirm a patient’s SmartHealth Plan eligibility
To submit a precertification notification or prior authorization request for a physician-administered specialty product or infusion therapy: