All covered employees must have access to prescription drug coverage. The type of prescription coverage provided and costs are determined by the option offered by your employer and the medical plan you select.
Prescription Coverage Eligibility for Dependents
Dependents of Employees may be eligible for prescription coverage if they fall into one of the following categories:
- Legal spouse
- Same-sex domestic partner or civil union partner
- Eligible children under age 26 (including stepchildren, foster children, adopted children or children an employee is legally required to support)
A list of the documentation required for dependents can be found on the State website.
When Prescription Coverage Begins
| Employee Type | Coverage | Example |
|---|---|---|
| 10-Month Faculty hired 9/1 | Benefits (medical, prescription, dental) effective 9/1 | Ex: Faculty hired 9/1, benefits effective 9/1 |
| 10-Month fired after 9/1 | Benefits (medical, prescription, dental) effective 60 days from hire date | Ex: Faculty/Staff hired 10/1, benefits effective 12/1 |
| 12-Month Faculty hired 9/1 or after, Regular Full-Time Staff |
Benefits (medical, prescription, dental) effective 60 days from hire date | Ex: Faculty/Staff hired 10/1, benefits effective 12/1 |
Prescription Coverage Overview
- Administered by OptumRx
- Access to thousands of retail locations
- Most pharmacies in New Jersey participate
- Prescription copayments determined by the health plan selected
- Prescription Plan Member Guidebook