Summary of Plan Features and Out-Of-Pocket Expenses
We have prepared a chart that provides a broad comparison of the medical plans: Summary of medical plan benefits.
The Health Plan
800.426.9013
The Health Plan Physician Directory
The Health Plan Certificate of Coverage
The Health Plan Schedule of Benefits
General Insurance Plan Provisions
The Health Plan Features
Prescription drug co-pay amounts
| Via retail, 30-day maximum supply | |
| Generic | $10 |
| Preferred Brand | $20 |
| Non Preferred Brand | $50 |
| Via mail, 90-day maximum supply | |
| Generic | $20 |
| Preferred Brand | $40 |
| Non-Preferred Brand | $100 |