Page 12 - CC 2017 Benefits Booklet
P. 12

2017 EMPLOYEE BENEFITS GUIDE
         PHARMACY






         Prescription benefits are included within the medical plan options available to Columbia College
         and it’s employees. The prescription benefits are built around different pricing structures, or
         “tiers,” which enable you to control the cost based on the types of medications you select. When
         you obtain your medications at a pharmacy, you will be responsible for satisfying a copay that

         will depend on the medication and its corresponding tier. Please note if you are enrolled in the
         HDHP, you will first need to satisfy your deductible before a copay can be applied. However, the
         deductible is waived if you are taking an approved maintenance medication.


         Mail Order Program—“3 months for 2.5” Copays


         Prescription plan participants can use the mail order program to obtain valuable savings when
         ordering up to 90-day supplies of maintenance medications. Under this program, you pay an
         amount equal to two and a half times the retail copay for a 90-day supply of your prescription.

         Not all drugs will qualify for the mail order drug program.





            PPO Prescription Drug Benefits                       HDHP Prescription Drug Benefits



                    Retail                                              Retail
           (up to 31 day supply)                               (up to 31 day supply)

              Tier 1 - Generic               $10                     Deductible              Same as Medical
          Tier 2 - Preferred Brand           $35                  Tier 1 - Generic           after deductible -

           Tier 3 - Non-Preferred            $60                                                    $10
                    Brand                                     Tier 2 - Preferred Brand       after deductible -

                 Mail Order               2.5x Retail                                               $30
           (up to 90 day supply)                               Tier 3 - Non-Preferred        after deductible -
                                                                       Brand                        $50

                                                                     Mail Order                 2.5x Retail
                                                               (up to 90 day supply)
                                                              Do prescription copays                Yes

                                                              count towards Out-of-
                                                                Pocket Maximum?



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