Page 17 - Work Life and Benefits Booklet 2020 - Global Post

The medical plans include prescription drug coverage for you and your covered dependents. For Aetna, the drug plan is Advanced Control Formulary.

Retail Pharmacy
Present your medical plan ID card at a participating SAVE MONEY ON YOUR MEDICATIONS!
pharmacy. You will receive up to a 30-day supply for
your prescription. You will pay a copay based on the Ask for Generic Drugs
type of prescription you receive. You can save money by asking for generic drugs. The FDA requires that generic drugs
have the same high quality, strength, purity, and stability as brand-name drugs. The next
Kaiser members must fill prescriptions at Kaiser or a time you need a prescription, ask your doctor to prescribe a generic drug when it is
designated pharmacy. available and appropriate.
Price your Medication with GoodRX.com

Mail Order – Maintenance Medication Price out your medication by searching wholesale costs online at www.goodrx.com. This
If you take maintenance medications for conditions is important for HSA members who must pay the full amount up to the deductible before
such as high blood pressure, asthma or diabetes, benefits begin.
Aetna’s mail order program can save you time and
money. When using the mail order service, you will Prior Authorization
receive a 3-month (90-day) supply for the cost of 2
months. So you pay for two and get one free! For Some drugs require clinical notes. If the drug is being denied, be sure to have your
additional information, call Aetna’s Customer Service at provider contact Aetna for pre-certification. If enrolled in Kaiser, Kaiser doctors will
(866) 529-2517 for HMO | (877) 204-9186 for OAMC/ select the drug that is best for your treatment. All authorizations are managed at Kaiser.
PPO or go online to www.aetna.com.

AETNA AETNA
PLAN NAME KAISER HMO HSA PPO OAMC/PPO

KAISER & CERTAIN
DESIGNATED PHARMACIES OAMC NON-NETWORK OAMC NON-NETWORK
Copays apply after you meet
Retail Copay (30-day supply)
the medical deductible.
Preferred Generic $15 Kaiser / $25 Other $10 Copay Not Covered $10 Copay 50%, $250 max

Preferred Brand $30 Kaiser / $40 Other $30 Copay Not Covered $30 Copay 50%, $250 max

Non-Preferred Generic/Brand N/A $50 Copay Not Covered $50 Copay 50%, $250 max
Specialty Medication $30 Kaiser / $40 Other 30% to $250 Not Covered Copays apply 50%, $250 max

Mail Order Copay (90-day supply)
2 copays for 90 day 2 copays for 90 day
Maintenance Medication 2 copays for a 90 day supply Not Covered Not Covered
supply supply