Image of Kern County Health Plan POS Members

County of Kern Point of Service Plan

Member Services  ♦  Point of Service Plan

Announcements

12/23/15   Anthem Blue Cross Provider Search
To search as a member, log in using your Username and Password or enter KEK (the first three characters of your POS Plan member ID number) in the "Identification number or alpha prefix" input area and press "continue".
12/23/15   New ID cards effective January 1, 2016
Members should be receiving cards in the mail. Member identification numbers will be the same for existing members, but billing information and the pharmacy benefit have changed for 2016. Please make sure you present your new card for services on or after January 1, 2016 and let your provider know to update any information they have on file.     View Sample POS ID Card
2/13/2015   Anthem Data Breach
 
Member Overview

The County of Kern Point of Service (POS) Employee Medical Plan is the County's oldest and most fully featured employee medical plan option. The County of Kern POS plan has the most expansive network of the available employee medical plan options and is the only plan to include both in-network and out-of-network coverage. For those employees or dependents not residing in Kern County, the County of Kern POS plan also offers statewide and nationwide coverage through the Anthem Blue Cross and Blue Cross/Blue Shield networks.

Plan administrators are:

Medical Benefits

Active Employees Summary of Benefits and Coverage  (PDF)

Note: For information on dental and vision coverage, visit Kern County Health Benefits

Active Employee Benefits - Local (click to expand/hide)

 

Active Employee Benefits - Out of Area (OOA) (click to expand/hide)

 

Retiree Benefits - Local (click to expand/hide)

 

Retiree Benefits - Out of Area (OOA) (click to expand/hide)

 

Prescription Benefits
Overview
 

Prescription benefits for the County of Kern POS plan are administered by WellDyneRx.

WellDyneRx Website

2016 WellDyneRx Universal Formulary  (PDF)

A list of the most commonly-prescribed drugs covered by the Plan

Specialty medications (previously provided by Briova) will be provided by US Specialty Care.

US Specialty Care Website

The POS prescription benefit includes generic, brand-name, and specialty medications. POS members can fill their prescriptions at Kern Medical pharmacies at reduced copays for generic and preferred name-brand medications and, through the POS Plan’s Over-the-Counter (OTC) prescription benefit, you can also receive some OTC non-sedating antihistamines (NSA) and Proton Pump Inhibitor (PPI) medications for $0 copay with a physician’s prescription.

Mail Order/Home Delivery Program
 

Mail Order Frequently Asked Questions

Mail Order Registration and New Prescription Order Form  (PDF)

Mail Order Specialty Prescription Form  (PDF)

Other Documents & Forms
 

WellDyneRx Prescription Drug Claim Form  (PDF)

Use this form to be reimbursed for each prescription that you purchased without your prescription card. You will be reimbursed network pharmacy rates, less co-pays.

WellDyneRx Healthy Steps program for managing diabetes  (PDF)

Copays
 
POS Prescription Benefit copays - Active Employees
Prescription - Retail 30-day supply at WellDyneRx-affiliated pharmacy:
     $5 Generic ($0 at Kern Medical Pharmacies)
    $15 Preferred Name-Brand *
    $30 Non-Preferred Name-Brand *
Prescription - Mail order 90-day supply through WellDyneRx Home Delivery:
     $10 Generic
     $30 Preferred Name-Brand *
     $60 Non-Preferred Name-Brand *

POS Prescription Benefit copays - Retirees
Prescription - Retail 30-day supply at WellDyneRx-affiliated pharmacy:
     $5 Generic ($0 at Kern Medical Pharmacies)
    $25 Preferred Name-Brand *
    $40 Non-Preferred Name-Brand *
Prescription - Mail order 90-day supply through WellDyneRx Home Delivery:
     $10 Generic
     $30 Preferred Name-Brand *
     $60 Non-Preferred Name-Brand *

If no generic available. Higher cost if generic is available.

Grievance/Appeals Procedure

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