Page 12 - 2021 Miami Marlins Front Office Benefits Guide

PRESCRIPTION DRUG COVERAGE VALUE

PLAN PPO

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 Medicare Part D
pharmacy or designated mail service
The company’s
Retail Program prescription drug plan is
The retail program provides up to a 31-day supply of no considered creditable
medication. Pay 100% of the cost of your medication until coverage. Please refer to
you reach the plan’s deductible. Once you’ve reached the the Required Benefit
deductible, you will only pay 30% of the cost. Notices on the last page of
this guide for further detail.

Mail Order Program
The mail service program is a convenient way for you order
medications. Your prescription is reviewed and dispensed
by registered pharmacists and mailed directly to your home.

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.

Prescription Tier 70/50 PPO MLB Value Plan

Prescription Drug Deductible Integrated with Medical Deductible

Retail – 31-day supply 70% after Deductible

Maintenance Drugs through Mail Order – 90- day 70% after Deductible
supply

Miami Marlins Front Office Employee Benefit Guide Page 12