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Prescription Drug Plan - Plan Details

Two simple plans to choose from:

  Rx Basic
Plan
Rx Advantage
Plan

Monthly Premium $47.10 $60.70

Your Deductible You will pay the first $295 each year towards your prescription drugs. (This is called your deductible.) You will pay the first $50 each year towards your prescription drugs.

Coverage Between $0 - $2,700 After your deductible, you pay $2.50 for a one month supply of generic drugs, $30 for preferred brand drugs, and $50 for non-preferred brands. After your deductible, you pay 20% for a one month supply of generic drugs, 25% for preferred brand drugs, and 50% for non-preferred brands.

Coverage Between $2,700 - $4,350 If your yearly drug costs exceed $2,700, you pay all of the cost between $2,700 and $4,350. If your yearly drug costs exceed $2,700, you pay all of the cost between $2,700 and $4,350.

Coverage Above $4,350 If you exceed $4,350 in annual drug costs, you will pay 5% or $2.40 per drug refill each month for generic and $6.00 for all other drugs. If you exceed $4,350 in annual drug costs, you will pay 5% or $2.40 per drug refill each month for generic and $6.00 for all other drugs.

NEWSLETTER       EMPLOYMENT       PRIVACY
Submission #S5877_4000_9004
CMS APPROVED DATE 10/1/2008
Web page last updated [08/13/2008]