Page 69 - Cover Letter & Evaluation for Patricia Letizia
P. 69
10/11/2018 Your Medicare Health Plan Details
Tier 2 Generic
1-Month: $0.00 copay
3-Month: $0.00 copay
All: Not Available
For all other drugs, you pay 37% for generic drugs and 25% for brand-name drugs.
Catastrophic Coverage
Phase
Generic drugs Generic drugs
$3.40 copay or 5% (whichever costs more)
Brand-name drugs Brand-name drugs
$8.50 copay or 5% (whichever costs more)
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