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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% 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
 
  Generic Preferred Non-Preferred
Network
Generic — 5% up to $25
Preferred — 10% up to $50
Non-Preferred — 20% up to $100
Network 5%
up to $25
10%
up to $50
20%
up to $100
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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