Page 9 - Humano EE Guide 06-20
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Prescription Drugs
The Anthem Blue Cross medical plans include prescription drug coverage for you and your covered dependents.
Retail Pharmacy
Use a retail pharmacy to fill prescriptions for acute conditions (conditions that do not require
the medication to be taken on a regular basis). At a participating pharmacy, you will receive
up to a 30 day supply of your prescriptions.
Mail Order Pharmacy – Maintenance Medication
You could pay less for the same medication when you use the mail order pharmacy. The mail
order pharmacy is a fast, easy and convenient way to save time and money on your
maintenance medications (drugs that you need to take regularly). You can order additional
supplies of medication at a discount. See below for details!
Anthem Blue Cross Anthem Blue Cross Anthem Blue Cross
Plan Name Bronze PPO Gold PPO Platinum PPO
Network In-Network Only* In-Network Only* In-Network Only*
Deductible Medical Deductible $150 Ind / $300 Family $0
Applies Applies to Tiers 2 and 3
Retail Pharmacy
Tier 1a / 1b 50% up to $500 max $15 Copay $10 Copay
Tier 2 50% up to $500 max Ded, $40 Copay $35 Copay
Tier 3 50% up to $500 max Ded, $80 Copay $70 Copay
Supply Limit 30 Days 30 Days 30 Days
Mail Order Pharmacy
Tier 1a / 1b 50% up to $1,500 max $38 Copay $25 Copay
Tier 2 50% up to $1,500 max $120 Copay $105 Copay
Tier 3 50% up to $1,500 max $240 Copay $210 Copay
Supply Limit 90 Days 90 Days 90 Days
*Prescription drugs are only covered when obtained through a network pharmacy.
Pharmacy Tips
Use generic and over the counter drugs when available.
The best way to save on prescriptions is to use generic or over the
counter medications as opposed to brand name drugs. Generic drugs
must use the same active ingredients as the brand name version of
the drug. A generic drug must also meet the same quality and safety
standards.
Use the mail order benefit for maintenance medications
To save money and time, consider using the mail order pharmacy to
fill your maintenance medications.
Employee Benefits 9
