|
How the Prescription Plan works
-
Eligible employees will receive a Pharmacy/Medical card.
- Employee presents Pharmacy card at the time they pick up their prescription. The Pharmacy will
check the system for eligibility.
- Employee will pay pharmacy the coinsurance/co-pay based on type of prescription
purchased.
-
Link to WHI website
THERE ARE THREE LEVELS OF RX'S
- GENERIC Drugs
-- $5.00 Co-pay
- BRAND NAME FORMULARY
Drugs -- 20% Co-insurance or $15.00 minimum
- BRAND
NAME NON-FORMULARY Drugs
-- 20%
Co-insurance or $30.00 minimum
GENERIC drugs
... are the least costly for both the Plan and the
employee.
FORMULARY drugs...are a list of
preferred drugs that provide a lower cost to the Plan and employee
while maintaining quality of health.
NON-FORMULARY drugs
... are the most costly of the prescription drugs.
|
MAXIMUM YEARLY
CO-INSURANCE is $2,000.
Upon reaching the yearly $2,000 individual maximum co-insurance, the
minimum co-pay still applies.
|
Participating Pharmacies include all five local
Cloquet pharmacies and over 54,000 pharmacies in Duluth and the US. Click
here for a partial area listing.
|
