Page 9 - Washington Nationals 2023 Benefits Guide -10.26.22_Neat

80/60 HDHP w/ HEALTH SAVINGS ACCOUNT

PRESCRIPTION DRUG COVERAGE

Program

A prescription drug program is offered as part of your
health care benefits. This program covers both non-
maintenance and maintenance prescription drugs
dispensed by either pharmacy or designated mail
service Medicare Part D
The company’s

Retail Program prescription drug plan is
The retail program provides up to a 31-day supply of creditable coverage. That

medication. Simply present your ID card at a means it meets and

participating pharmacy nationwide and pay the exceeds Medicare Part D
appropriate co-pay for your medication. requirements and the
benefits offered by most
Mail Order Program Medicare Part D plans. If
The mail service program is a convenient way for you are eligible for
you order medications. Your prescription is reviewed Medicare, you may
and dispensed by registered pharmacists and mailed continue to receive your
directly to your home. prescription drugs under
this plan. You do not need
Maintenance Drugs to enroll in a separate
Up to a 90-day supply of maintenance drugs is Medicare D drug plan.
available through the mail order pharmacy.
Maintenance medication is a prescription drug
anticipated to be required for 6 months or more to Additional information is
treat a chronic condition. available on the intranet.

HDHP Prescription Plan
Plan Provision

Prescription Deductible Integrated with medical deductible

Retail – 31 day supply Plan pays 80% after plan deductible

Maintenance Drugs through Mail Order – 90- day supply Plan pays 80% after deductible

2023 Washington Nationals Benefit Guide Page 9