Just a reminder since we will soon be into a new calendar year—any prescription drug that is not a generic will first go towards meeting your annual $100 deductible. Regardless of whether you have single or family coverage, no person in the family will have to pay more than $100 towards their 2013 drug deductible.
Examples: If your drug is a Tier 2 and costs $150, you will pay $120 on your first refill for a one month prescription. ($100 deductible + $20 co-pay).
If, for example, you have a $500 drug that is a Tier 3, and you get a 3-month supply for the cost of two co-pays, you will pay $170 ($100 deductible + $70 for two $35 co-pays). You can never be charged more than the cost of the drug.
If you have family coverage, you will not be charged more than $200 for your family drug deductible. This deductible can be met by two individuals or several members of the family together meeting the $200.
This might be a good time to talk to your physician about trying a generic prescription for your medical conditions. You will never be assessed a deductible for a generic and the monthly co-pay is only $5.00.
If you have any questions, contact Kathy Martin, Benefits Specialist, at kmartin@aea11.k12.ia.us or ext. 14385.
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