Prescription Drug Deductible

2020 and 2021 Plan Year Information

If You Enroll in Option A or B: In-Store (up to 30-day supply)If You Enroll in Option A or B: Mail Order (up to 90-day supply)If You Enroll in Option C: Preventive MedicationsIf You Enroll in Option C: Non-Preventive Medications
Annual Deductibles

The annual deductible works differently depending on the Medical Plan option you choose. The Option A and B annual deductible is for your prescription drugs only (a separate annual deductible applies for medical costs); the Option C annual deductible includes medical and prescription drugs.

Annual Deductible
  • Single: $50
  • Family: $150

None, skip to coinsurance

Medical and prescription drug deductibles are combined; skip to coinsurance for payment amounts for prescription drugs

  • Single: $2,300
  • Family: $4,600

Medical and prescription drug deductibles are combined; skip to coinsurance for payment amounts for prescription drugs

  • Single: $2,300
  • Family: $4,600