• Prescription Drug Coverage

    How the Medical Plans Cover Prescription Drugs

    Prescription Coverage Health Savings Account (HSA) Plan Base Plan Buy-Up Plan
    Retail Prescriptions  $10 Copay per prescription* $10 Copay per prescription $10 Copay per prescription
    (up to 31-day supply)
    Generic drugs
    Preferred brand drugs $30 Copay per prescription* $30 Copay per prescription $30 Copay per prescription
    Non-preferred brand drugs $50 Copay per prescription* $50 Copay per prescription $50 Copay per prescription
    Specialty Prescriptions
    (up to 31-day supply)    		 $75 Copay per prescription for drug cost less than $1,000; $125 Copay per prescription for drug cost $1,000 or greater* $75 Copay per prescription for drug cost less than $1,000; $125 Copay per prescription for drug cost $1,000 or greater $75 Copay per prescription for drug cost less than $1,000; $125 Copay per prescription for drug cost $1,000 or greater
     
     
    Retail 90 Prescriptions  $20 Copay per $20 Copay per prescription $20 Copay per prescription
    (32-90-day supply) Prescription* 
    Generic drugs  
    Preferred brand drugs $60 Copay per $60 Copay per prescription $60 Copay per prescription
    Prescription*
    Non-preferred brand drugs $100 Copay per prescription* $100 Copay per prescription $100 Copay per prescription
     
    Mail Order Prescriptions $20 Copay per prescription* $20 Copay per prescription $20 Copay per prescription
    (32-90-day supply)
    Generic drugs
    Preferred brand drugs $60 Copay per prescription* $60 Copay per prescription $60 Copay per prescription
    Non-preferred brand drugs $100 Copay per prescription* $100 Copay per prescription $100 Copay per prescription
    Prescription Drug Out-of-Pocket Maximum Medical and pharmacy expenses are subject to the same medical out-of-pocket maximum. *    
      Per person: $3,200
      Per family: $6,400

     

    * More information on how the medical Health Savings Account Plan covers prescription drugs: 

    Under the Health Savings Account Plan, you benefit from the prescription drug discount, but pay the full cost of covered prescription drugs until you meet the deductible. Medical and pharmacy expenses are subject to the same medical deductible. After you meet the deductible, you pay the copay of covered prescription costs until you reach the combined medical and prescription drug out-of-pocket maximum. At that point, the plan pays 100% of covered prescription costs for the rest of the plan year.