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Trinity Health Plan Of New England is available in select counties in Connecticut. Plans and premiums may vary by county and state. This chart is not a complete list of benefits. For more detailed information about our plan options, view the Summary of Benefits.
Out-of-network/non-contracted providers are under no obligation to treat Trinity Health Plan Of New England members except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.
You may receive prescription drugs at home using our network mail order program, generally within 10 calendar days of when your order is received. For questions about mail-order medication, call 1-866-785-5714 option 2 (TTY 711). Our mail-order pharmacy is to obtain consent prior to shipping or delivering any prescriptions that the beneficiary did not personally initiate unless the prescriber has initiated other mail-order prescriptions for the beneficiary in the last 12 months.
1 There is a $1,000 annual combined benefit maximum for preventive and comprehensive dental services.
2 * On select plans, Trinity Health Plan Of New England covers sildenafil citrate (generic Viagra) in 25mg, 50mg and 100mg tablets; vardenafil (generic Levitra/Staxyn) in 2.5mg, 5mg, 10mg, and 20mg tablets/ODT; and tadalafil (generic Cialis) in 2.5mg, 5mg, 10mg and 20mg tablets with a prescription for males only. Eligible members may receive four (4) tablets across all strengths per 30 days (except tadalafil 2.5mg: 30 tablets per 30 days) at retail pharmacy locations and mail order. A Tier 2 copay will apply.