No-Pay Copay

No-Pay Copay encourages State Health Plan primary members to be more engaged in their health and saves them money. When you complete activities and earn two credits in Strive, you can receive certain generic drugs at no cost to you. Covered conditions include:

  • High blood pressure.
  • High cholesterol.
  • Cardiovascular disease.
  • Coronary artery disease.
  • Diabetes.

How it works

Participating is easy. Just complete a few simple activities, earning at least two credits, to receive your copay waiver for the following year. Activities are tailored toward your health condition and might include things like talking to a health coach or having lab tests. No-Pay Copay will pay for certain generic medications to treat your condition. To learn more about the program, log in to your My Health Toolkit® account, select wellness, then No-Pay Copay.

Need to earn two credits to be compliant

Activity Frequency Credits
Care Management coaching Twice annually 4 out of 7 = 1 credit
My Health Planner Once per year

Eye exam attestation

Once per year
Dental exam Once per year
Flu shot attestation Once per year
Complete Quit for Life Once per year
Wondr Health program Once per year
Health check-up Once per year 1 of 5 = 1 credit
Lipid panel Once per year
A1C blood test Once per year
Diabetes neuropathy screening Once per year
Diabetes serum creatinine Test Once per year

Example: If you complete your first credit on May 25, 2023, and complete the second credit on Aug. 2, 2023, your No-Pay Copay will be active Sept. 1, 2023, through Dec. 31, 2024.

How to get started

To participate in the program, register for Strive. Strive is a product of Virgin Pulse, an independent company that provides a digital health and well-being platform on behalf of the State Health Plan. 

Strive makes it easier for you to improve and maintain your overall health. Based on your responses to a quick health assessment, you’ll get personalized recommendations to help you move more, eat better and feel great. If you’ve already enrolled in Strive, simply log in. To register for Strive:

Step 1: Follow the instructions to create your Strive profile.

Step 2: Complete the brief Personal Health Assessment.

Step 3: Once you log in to Strive and complete the health assessment, select the Home tab, then Rewards. You will see a list of your required activities and your time status in No-Pay Copay. 

Contact us for information

BlueCross BlueShield of South Carolina (BlueCross) identifies eligible members and mails an invitation to join the program. Participants must then register for Strive to complete activities. Call BlueCross at 800-868-2520 for more details.

If you think you qualify for the program, call BlueCross at 855-838-5897. BlueCross administers the program. Express Scripts, the pharmacy benefits manager, can provide more information about eligible generic prescriptions. Contact Express Scripts at 855-612-3128.

For questions about the Strive app or platform:

Eligible generic prescriptions

Strive is a product of Virgin Pulse, an independent company that offers a digital health platform on behalf of the State Health Plan.

Express Scripts is an independent company that contracts directly with the State Health Plan.

Quit For Life is provided by the American Cancer Society and Optum® Inc. Optum is an independent company that offers smoking cessation programs on behalf of the State Health Plan. The American Cancer Society is an independent organization that provides health information members of BlueCross may find helpful.

Wondr Health is an independent company that provides health and weight management programs on behalf of BlueCross BlueShield of South Carolina. 

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