2024-2025
Benefits Info
Effective Plan Dates: February 1, 2024 – January 31, 2025

Prescription Plan

All medical plan participants have prescription drug coverage based on their selected plan. A way to save money is by requesting generics and/or mail order options when available.

CVS/Caremark Plans PPO Ehanced & PPO Value Plans Consumer Choice Plan
RETAIL PHARMACY header
Deductible (per person/family)* $50/person
$150/family
Included in the medical plan deductible
Generic 20% coinsurance with
$10 minimum & $25 maximum
15% coinsurance with
$5 minimum & $30 maximum
Preferred Brand 25% coinsurance with
$20 minimum & $65 maximum
25% coinsurance with
Non-Preferred Brand 35% coinsurance with
$40 minimum & no maximum
45% coinsurance with
$35 minimum & no maximum
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Mail Order Pharmacy header
Generic 20% coinsurance with
$20 minimum & $70 maximum
15% coinsurance with
$10 minimum & $60 maximum
Preferred Brand Rx Deductible & 25% coinsurance with
$40 minimum & $130 maximum
25% coinsurance with
$30 minimum & $140 maximum
Non-Preferred Brand Rx Deductible & 35% coinsurance with
$80 minimum & no maximum
45% coinsurance with
$70 minimum & no maximum
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OUT-OF-POCKET MAXIMUM header
All out-of-pocket maximums are included in the medical plan out-of-pocket maximum
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*When filling a prescription at a network pharmacy, deductibles do not apply for generic drugs.

Video: Managing RX Costs