When enrolled in the High Deductible Health Plan, you can expect to pay the negotiated price for your prescriptions, that are not on the Preventative Drug List, until your HDHP annual deductible is met. The cost of these prescriptions will go towards meeting your annual deductible. Once your deductible is met, your prescription co-insurance will apply (see below) and the maximum you would pay for your prescription will be $60. For more information about your prescription coverage, visit our CVS/Caremark prescription webpage.
To get pricing information for prescriptions under the HDHP plan, you can contact CVS/Caremark at 1-888-202-1654.
Prescription co-insurances:
- 10% coinsurance of the negotiated price for generic medications
- 20% coinsurance of the negotiated price for brand-name prescriptions when a generic equivalent is not available
- 40% coinsurance of the negotiated price for brand-name prescriptions when a generic equivalent is available
If you or your dependents are taking prescriptions appearing on the Preventive Therapy Drug List (PDF), the cost of that drug is not subject to your deductible. However, co-insurance will apply as stated above and the co-insurance amount will be applied to your combined medical/prescription maximum out-of-pocket deductible.