Page 10 - Texas Rangers 2022 Front Office Flipbook

PRESCRIPTION DRUG COVERAGE PLAN B

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

medication. You pay 100% of the cost of your means it meets and exceeds
medication until you reach the plan’s deductible. Medicare Part D requirements and
Once you’ve reached the deductible, you will only the benefits offered by most
pay 30% of the cost. Medicare Part D plans. If you are
eligible for Medicare, you may
Mail Order Program continue to receive your
The mail service program is a convenient way for you prescription drugs under this plan.
order medications. Your prescription is reviewed and You do not need to enroll in a
dispensed by registered pharmacists and mailed directly separate Medicare D drug plan.
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.

Plan B: HDHP Plan In-Network Benefits

Prescription Deductible Integrated with Medical Deductible

Retail: 31-Day Supply 70% after Deductible

Maintenance Drugs through Mail Order: 90- Day Supply 70% after Deductible

2022 Rangers Baseball LLC (the Texas Rangers) Benefit Guide Page 10