No-Pay Copay FAQs

What is the No-Pay Copay program?

If you are an adult State Health Plan primary member, a COBRA subscriber or a retiree whose primary coverage is the State Health Plan, you may qualify for the No-Pay Copay program if you have certain chronic conditions. Those health conditions include high blood pressure, high cholesterol, congestive heart failure, heart disease and diabetes. No-Pay Copay offers generic medications to treat those chronic health conditions at no cost to you.

All you need to do is complete a few simple healthenhancing activities each quarter. The activities will be customized just for you. They may include talking by phone to a health coach, reading articles about your condition, having a lab test or other steps. Every three months, your required activities will change. You’ll need to complete the new activities to qualify for your generic drugs the next three months.

If I meet the requirements, how do I sign up for No-Pay Copay?

The State Health Plan uses claims information to identify members who may qualify for No-Pay Copay. If you receive a letter telling you that you may qualify, you’ll need to follow a few steps to enroll in the program. Your first step is to register for Rally and take a brief health survey. After you complete the survey, Rally will tell you which activities you’ll need to complete to qualify for your generic drugs at no cost the following quarter.

Once you’ve logged in to Rally and taken the survey, follow these steps to see a list of your required activities:

1. Select the Rewards tab.
2. Near the top of the page, click View Program.
3. Scroll down that page, and in the Personal Rewards section, you’ll see a description of your activities and the deadline for completing them.

Rally will track your progress quarterly. If you think you qualify for the program but have not received a letter, call BlueCross at 855.838.5897.

What must I do to get credit for the educational requirements of the No-Pay Copay program?

If you’re asked to read an article, you must read the entire article by the deadline to get credit. Similarly, if you’re asked to view a video, you must view the entire video to get credit.

If I completed but did not get credit for a health coaching contact, what must I do to get credit?

You should contact BlueCross Health Coaching at 855.838.5897.

If I’m required to see a doctor for my condition or complete a lab test to receive my No-Pay Copay waiver, when must I have the exam or test completed to get credit?

BlueCross credits physician exams and lab tests for No-Pay Copay annually using claims data. To avoid delays when using your No-Pay Copay benefits, make sure to complete these requirements by Dec. 24, 2018. You can complete these requirements anytime throughout the year. You do not have to wait until the fourth quarter.

How can I get more information about the No-Pay Copay program?

If you’d like more information about the No-Pay Copay program, call 800.868.2520 to speak to a BlueCross Customer Service advocate, 8 a.m. to 6 p.m. EST, Monday through Friday.