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Non-Medicare members needing diabetes medications or supplies can receive the following:

  • Lower prescription copayments/coinsurance
  • Preferred glucometer (one per year) and prescribed preferred test strips and lancets covered at 100% for PPO members or 100% after deductible is met for HSA Plan members, when received through a network pharmacy.

Diabetic Medications

 
HSA Plan Coinsurance for Diabetic Medications
HSA Plan Coinsurance for Diabetic Medications
Coinsurance applies after deductible is met Coinsurance applies after deductible is met
 
  Generic Preferred Non-Preferred
Network
Generic — 5%
Preferred — 10%
Non-Preferred — 20%
Network 5% 10% 20%
Non-Network
Generic — 20%
Preferred — 20%
Non-Preferred — 25%
Non-Network 20% 20% 25%
 
 
PPO Plan Copayments for Diabetic Medications
PPO Plan Copayments for Diabetic Medications
 
Supply Generic Preferred Non-Preferred
Up to 31-day
Generic — $5
Preferred — $20
Non-Preferred — $50
Up to 31-day $5 $20 $50
Up to 60-day
Generic — $10
Preferred — $40
Non-Preferred — $100
Up to 60-day $10 $40 $100
Up to 90-day (Home Delivery)
Generic — $12.50
Preferred — $50
Non-Preferred — $125
Up to 90-day (Home Delivery) $12.50 $50 $125
Up to 90-day (Retail)
Generic — $15
Preferred — $60
Non-Preferred — $150
Up to 90-day (Retail) $15 $60 $150

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