Page 8 - 2021 Miami Marlins Front Office Benefits Guide
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PRESCRIPTION DRUG COVERAGE 90/70 PPO








         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 service                        The company’s prescription
                                                                                        drug plan is creditable
         Retail Program                                                                 coverage. That means it
         The retail program provides up to a 31-day supply of                           meets and exceeds
         medication.  Simply present your ID card at a participating                    Medicare Part D
         pharmacy nationwide and pay the appropriate co-pay or                          requirements and the
         coinsurance amount for your medication                                         benefits offered by most
                                                                                        Medicare Part D plans. If
                                                                                        you are eligible for
         Mail Order Program                                                             Medicare, you may
         The mail service program is a convenient way for you to                        continue to receive your
         order  medications.  Your  prescription  is  reviewed  and                     prescription drugs under
         dispensed by registered pharmacists and mailed directly to                     this plan. You do not need
         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                                                           90/70 PPO

          Prescription Deductible                                                    None

          Retail – 31-day supply                                   $10 Generic / $20 Brand / $35 Brand-Non-Formulary

          Maintenance Drugs through Mail Order – 90-day supply     $20 Generic / $40 Brand / $70 Brand-Non-Formulary








        Miami Marlins Front Office Employee Benefit Guide                                                      Page 8
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