PRESCRIPTION DRUGS

Prescription drug benefits are part of your health care program. Benefits are administered by Anthem.

Participants in both the PPO and HSA Plan can obtain certain preventative drugs at no cost. However, the HSA Medical Plan offers a more extensive list of $0 preventive medications.

Covered Services	HSA Plan	PPO Plan
Generic	20% after deductible 0% after out-of-pocket maximum met	20% after deductible; 0% after out-of-pocket maximum met
Brand Formulary		25% after deductible; 0% after out-of-pocket maximum met
Brand Non-Formulary		40% after deductible; 0% after out-of-pocket maximum met
Specialty		30% after deductible ($200 maximum); 0% after out-of-pocket maximum met