Option 1

  • $500 annual prescription deductible for brand/specialty only
    • $0 Generic for 30 or 90 Day, deductible waived
    • $100 after deductible Preferred Brand
    • $175 after deductible Preferred Brand
    • Lesser of $1,500 or 25% after deductible for Specialty Meds

Option 2

  • $500 annual prescription deductible for brand/specialty only
    • $0 Generic for 30 or 90 Day, deductible waived
    • $100 after deductible Preferred Brand
    • $175 after deductible Preferred Brand
    • Lesser of $1,500 or 25% after deductible for Specialty Meds

Option 3 – HSA

  • $1,700 Individual / $3,400 Family
  • $0 Generic Copay after deductible
  • 25% after deductible Preferred Brand
  • 25% after deductible Preferred Brand
  • 25% after deductible for Specialty Meds