Page 10 - 2021 Miami Marlins Front Office Benefits Guide
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PRESCRIPTION DRUG COVERAGE 80/60



        HDHP with H.S.A.








          Program
          A prescription drug program is offered as part of your
          health care benefits. This program covers both non-

          maintenance and maintenance prescription drugs                                  Medicare Part D
          dispensed by either pharmacy or designated mail

          service                                                                    The company’s
                                                                                     prescription drug plan is
          Retail Program                                                             creditable coverage. That

          The retail program provides up to a 31-day supply of                       means it meets and

           medication.  Pay 100% of the cost of your                                 exceeds Medicare Part D
          medication until you reach the plan’s deductible.                          requirements and the
          Once you’ve reached the deductible, you will only                          benefits offered by most
          pay 20% of the cost.                                                       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  to  order  medications.  Your  prescription  is                       prescription drugs under
          reviewed  and  dispensed  by  registered pharmacists                       this plan. You do not need
          and mailed 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.
          Maintenance medication is a prescription drug
          anticipated to be required for 6 months or more to
          treat a chronic condition.


          Plan Provision                                                      80/60 HDHP with H.S.A.

          Prescription Deductible                                         Integrated with Medical Deductible

          Retail – 31-day supply                                               80% after Deductible


          Maintenance Drugs through Mail Order – 90- day supply                80% after Deductible



        Miami Marlins Front Office Employee Benefit Guide                                                    Page 10
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