Medication Therapy Management | Innovation Health Medicare

Working to ensure the safety and effectiveness of your medications

Our Medication Therapy Management (MTM) program helps you and your doctor manage your medications.

If you qualify for the program, a pharmacist will review your medications and talk with you about:

How to get the most benefit from the drugs you take
Any side effects or reactions
Any questions or concerns you have
Options that may help you save money

We automatically enroll members in our MTM programs, if you qualify. Participation is voluntary. You can opt out of the program at any time.

What does it cost?

There's no added cost to be in our MTM program.

Do you qualify?

2021

You qualify for our MTM program if you:

Have three or more of these conditions:
- Osteoporosis
- Chronic Heart Failure (CHF)
- Diabetes
- Depression
- Asthma
- Chronic Obstructive Pulmonary Disease (COPD)
- Cardiovascular Disorders (Not for Prescription Drug Plans)
Are likely to spend more than $4,376 in 2021 on prescription drug costs (includes amounts paid by both you and the plan)

Take eight or more maintenance medications that are covered by your Medicare Part D plan

If you meet all of these criteria, we'll mail you a letter confirming your enrollment in our MTM program. You'll also get a call from us.

Outcomes MTM is partnered with Innovation Health

To leave the program, just call our MTM representatives at 1-855-905-4689 (TTY: 711), Monday through Friday, from 8:00 a.m. to 6:00 p.m. CT.

To leave the program, just call our MTM representatives at 1-844-866-3735 (TTY: 711), Monday through Friday from 10:00 a.m. to 8:00 p.m. ET.

See a sample 2021 MTM enrollment letter

See a sample 2021 MTM enrollment letter (Spanish)

2020

You qualify for our 2020 MTM program if you:

Have three or more of these conditions:
- Osteoporosis
- Chronic heart failure (CHF)
- Diabetes
- Depression
- Asthma
- Chronic obstructive pulmonary disease (COPD)
- Cardiovascular disorders
Are likely to spend more than $4,255 in 2020 on prescription drug costs (includes amounts paid by both you and the plan)

Take eight or more maintenance medications that are covered by your Medicare Part D plan

If you meet all of these criteria, we'll mail you a letter confirming your enrollment in our MTM program. You'll also get a call from us.

Sinfonia Rx is partnered with Aetna

To leave the program, just call our MTM representatives at 1-844-866-3735 (TTY: 711), Monday through Friday from 10:00 a.m. to 8:00 p.m. ET.

See a sample 2020 MTM enrollment letter

See a sample 2020 MTM enrollment letter (Spanish)

Learn how the program works

2021

Once in the program, you’re offered a comprehensive medication review. It includes several steps:

A pharmacist reviews all of your medications to see if there are any drug therapy issues.
If needed, a pharmacist will work with your doctor to resolve any drug therapy issues.
The pharmacist will talk with you over the phone or in person at your local pharmacy. They’ll review your current medications (both prescription and over-the-counter) and your medical conditions. This will take about 30 minutes.
The pharmacist will give you a personal medication list and an action plan to help you manage your medications. Be sure to share this information with your doctor.

See a sample 2021 personal medication list

See a sample 2021 personal medication list (Spanish)

See a sample 2021 medication action plan

See a sample 2021 medication action plan (Spanish)

We’ll review your medications at least once every three months. After each review, we may send suggestions to your doctor about prescriptions that may be safer or a better alternative. As always, your doctor will decide whether to consider our suggestions. Your prescription drugs won’t change unless you and your doctor decide to change them. We may also contact you with suggestions about your medications.

MTM programs are not considered benefits.

2020

Once in the 2020 program, you’re offered a comprehensive medication review. It includes several steps:

A pharmacist reviews all of your medications to see if there are any drug therapy issues.

If needed, a pharmacist will work with your doctor to resolve any drug therapy issues.

The pharmacist will talk with you over the phone or in person at your local pharmacy. They'll review your current medications (both prescription and over-the-counter) and your medical conditions. This will take about 30 minutes.

The pharmacist will give you a personal medication list and an action plan to help you manage your medications. Be sure to share this information with your doctor.

See a sample 2020 personal medication list

See a sample 2020 personal medication list (Spanish)

See a sample 2020 medication action plan

See a sample 2020 medication action plan (Spanish)

We'll review your medications at least once every three months. After each review, we may send suggestions to your doctor about prescriptions that may be safer or a better alternative. As always, your doctor will decide whether to consider our suggestions. Your prescription drugs won’t change unless you and your doctor decide to change them. We may also contact you with suggestions about your medications.

MTM programs are not considered benefits.

Man holding prescription bottle and talking on phone

We're here to help!

Members:
Email us or call Member Services at the number on your ID card.

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Not yet a Member?
Email us or call an Innovation Health representative at 1-800-572-7124 (TTY: 711), 7 days a week, 8 AM to 8 PM

We speak your language: We have free interpreter services to answer questions you may have about our health or drug plan.
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Medication Therapy Management Programs

Working to ensure the safety and effectiveness of your medications

What does it cost?

Do you qualify?

2021

2020

Learn how the program works

2021

2020

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