Self Insurance Etcetra

Worker's Compensation

As part of the Total Disability Management Corporation (TDMC) program, a managed prescription drug plan is initiated when a worker's compensation claim is reported. A prescription drug card is provided the claimant for use in the PBM network.

After seeing the examining physician, the employee takes the prescription and the card to the pharmacy and receives the filled prescription without having to pay. The employer is billed by the PBM.

The claim information is transmitted by TDMC to the PBM as well as the claim administrator. The burden of tracking prescriptions and refills is lifted by this process.
The employer, the payer, receives a discounted prescription along with the management reports he requires. The employee receives the necessary prescription without having to pay in advance of reimbursement. For a self insurer who is used to control in the claims process, this adds one more avenue for control of the process, making it easier for the employee and lowering the cost on this ever increasing segment of health care.

Further information is available on Managed Prescription Drug Plans.

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