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Capital Area Transportation Authority
GROUP RETIREE HEALTHCARE PLANS
Medical Plans:
Underwritten by United American
Plan F Plan G
Monthly Rate $211.00 $187.00
Calendar Year Deductible* $0.00 $198.00
Member Part B Co-Insurance 0% 0%
Out-of-Pocket Maximum $0.00 $198.00
Lifetime Benefit Maximum Unlimited Unlimited
*Includes Part B Deductible (2020: $198.00)
Rates shown above are valid from January 1, 2021 through December 31, 2021.
Rates above include Manage My Health ($10).
Prescription Drug Plans:
Underwritten by Express Scripts Medicare
Option 1 Option 2
Custom Prescription Drug Plans
(30 Day Retail) (30 Day Retail)
Monthly Rate $231.00 $268.00
Annual Deductible $0.00 $0.00
Tier 1: Generic $15.00 $5.00
Tier 2: Preferred Brand $30.00 $25.00
Tier 3: Non-Preferred Generic & Brand $50.00 $50.00
Tier 4: Specialty $50.00 $50.00
Coverage in Gap* Same Copays as Above Same Copays as Above
Catastrophic Coverage Level Greater of 5% or $3.70 for generic and multi-source drugs. Greater of 5%
$6,550.01+ or $9.20 for all other covered drugs
Rates shown above are valid from January 1, 2021 through December 31, 2021.
90 Day Retail and Mail Order copays are two times the 30-day retail amount shown.
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