prescription drug coverage

manage your coverage

If you are enrolled in a Chevron medical plan, you’re also automatically enrolled in prescription drug coverage.

If you are enrolled in a Chevron Medical HMO Plan, your HMO Plan provides prescription drug coverage. Your HMO Plan is the insurer of your prescription drug coverage. To learn more about the prescription drug coverage available through your HMO Plan, contact your HMO plan directly.

If you are enrolled in the Medical PPO Plan, then your plan automatically includes prescription drug coverage. Express Scripts is the insurer for prescription drug coverage under the Medical PPO Plan.

The Medical PPO Plan has separate deductibles, one for medical services and the other for prescription drugs.  The prescription drug deductible is the same whether you use a network or out-of-network provider. As a reminder, mail-order prescriptions are not subject to the deductible.

If you are enrolled in the HDHP, then your plan automatically includes prescription drug coverage. Express Scripts is the insurer for prescription drug coverage under the HDHP.

The Chevron HDHP has one combined deductible for medical, prescription drugs (both retail and mail-order), mental health and substance abuse services. This means you’ll have to pay the full cost for covered services and supplies until you reach the deductible for the year. There are different deductible amounts for covered services depending on if you see a network or an out-of-network provider. 

The HDHP covers certain preventive medications at 100 percent, even if you haven’t yet satisfied your combined annual deductible. This coverage generally includes preventive medication in the following drug classes: cholesterol lowering, high blood pressure, blood thinners, obesity, bone disease/fracture, smoking cessation, cavity prevention, malaria, colonoscopy prep, respiratory Syncytial Virus. This benefit applies to covered prescriptions filled at a pharmacy or through the mail-order service. Rules regarding prior authorization or clinical review apply, if required for your particular drug. To find out if your preventive medication is on the list for this coverage, call Express Scripts.

If you are enrolled in the HDHP Basic, then your plan automatically includes prescription drug coverage. Express Scripts is the insurer for prescription drug coverage under the HDHP Basic.

The Chevron HDHP Basic has one combined deductible for medical, prescription drugs (both retail and mail-order), mental health and substance abuse services. This means you’ll have to pay the full cost for covered services and supplies until you reach the deductible for the year. There are different deductible amounts for covered services depending on if you see a network or an out-of-network provider. 

The HDHP Basic covers certain preventive medications at 100 percent, even if you haven’t yet satisfied your combined annual deductible. This coverage generally includes preventive medication in the following drug classes: cholesterol lowering, high blood pressure, blood thinners, obesity, bone disease/fracture, smoking cessation, cavity prevention, malaria, colonoscopy prep, respiratory Syncytial Virus. This benefit applies to covered prescriptions filled at a pharmacy or through the mail-order service. Rules regarding prior authorization or clinical review apply, if required for your particular drug. To find out if your preventive medication is on the list for this coverage, call Express Scripts.

If you are enrolled in the Global Choice Plan (U.S.-Payroll Expatriates), then your plan automatically includes prescription drug coverage. 

  • Cigna administers your prescription drugs for prescriptions obtained outside the United States.
  • Express Scripts administers your prescription drugs for prescriptions obtained inside the United States or by mail-order within the United States.

There are two separate deductibles under the Global Choice Plan:

  • There is a deductible that applies to all medical services (inside and outside the United States).
  • There is a deductible that applies to prescription drugs obtained inside the United States (no deductible for mail-order).

There is no deductible for prescription drugs obtained outside the U.S., and no deductible for mental health and substance abuse services. As a reminder, mail-order is not available for prescriptions outside the U.S.

prescriptions obtained inside the U.S. and mail-order

Express Scripts is the insurer for prescription drugs obtained inside the U.S. and through mail-order within the U.S. 

If you are enrolled in the Global Choice Plan (Expatriates in the U.S.), then your plan automatically includes prescription drug coverage. 

  • Cigna administers your prescription drugs for prescriptions obtained outside the United States.
  • Express Scripts administers your prescription drugs for prescriptions obtained inside the United States or by mail-order within the United States.

prescriptions obtained inside the U.S. and mail-order 

Express Scripts is the insurer for prescription drugs obtained inside the U.S. and through mail-order within the U.S. 

prescriptions obtained outside the U.S. 

Cigna Global Health Benefits (Cigna) is the insurer for prescription drugs obtained outside the U.S. 

Please note: This page applies to U.S.-payroll employees. This page provides only certain highlights of benefits or program provisions. It is not intended to be a complete explanation. If there are any discrepancies between this communication and legal plan documents, the legal documents will prevail to the extent permitted by law. This is not a plan text or a summary plan description. There are no vested rights with respect to Chevron health care plans or any company contributions toward the cost of such health care plans. Rather, Chevron Corporation reserves all rights, for any reason and at any time, to amend, change or terminate these plans or to change or eliminate the company contribution toward the cost of such plans. Such amendments, changes, terminations or eliminations may be applicable without regard to whether someone previously terminated employment with Chevron or previously was subject to a grandfathering provision. Some benefit plans and policies described in this document may be subject to collective bargaining and, therefore, may not apply to union represented employees.