Page 7 - 2022 Washington Nationals Flipbook
P. 7
80/60 PPO PRESCRIPTION DRUG COVERAGE
Program
A prescription drug program is offered as part of your
health care benefits. This program covers both non- Medicare Part D
maintenance and maintenance prescription drugs
dispensed by either pharmacy or designated mail The company’s prescription
service drug plan is creditable
coverage. That means it
Retail Program meets and exceeds
The retail program provides up to a 31-day supply of Medicare Part D
medication. Simply present your ID card at a requirements and the
participating pharmacy nationwide and pay the benefits offered by most
appropriate co-pay for your medication. Medicare Part D plans. If
you are eligible for
Mail Order Program Medicare, you may
The mail service program is a convenient way for continue to receive your
you order medications. Your prescription is reviewed prescription drugs under
and dispensed by registered pharmacists and mailed this plan. You do not need
directly to your home. to enroll in a separate
Medicare D drug plan.
Maintenance Drugs
Up to a 90-day supply of maintenance drugs is
available through the mail order pharmacy. Additional information is
Maintenance medication is a prescription drug available on the intranet.
anticipated to be required for 6 months or more to
treat a chronic condition.
80/60 PPO Prescription Plan
Retail Pharmacy Copayment Mail Order Copayment
Prescription Tier (31-day supply) (90-day supply)
Generic $10 $20
Brand Name $20 $40
Non-Formulary Brand Name $35 $70
2022 Washington Nationals Benefit Guide Page 7
