Prescription Drugs
When you enroll in Medical coverage, you will also receive prescription benefits. Here you can see the basics but be sure to check the formulary for a full list of the prescriptions that are covered by the plan. Remember, you can always ask your doctor about lower-cost alternatives. Generic drugs tend to be less expensive than brand-name drugs, so keep that in mind when shopping around.
| Aetna HDHP Plan Formerly Essential Care | Aetna EPO Plan Formerly Choice Care | Aetna PPO Plan Formerly Critical Care |
||
|---|---|---|---|---|
| In-Network Only | In-Network Only | In-Network | Out-of-Network | |
| You Pay | ||||
| Retail Rx (up to 30-day supply) | ||||
| Preventive | $0 | Subject to tier | Subject to tier | Not covered |
| Generic | $15 copay* | $15 copay | $15 copay | Not covered |
| Preferred Brand | $40 copay* | $60 copay | $40 copay | Not covered |
| Specialty: Generic** | $150 copay* | $200 copay | $150 copay | Not covered |
| Specialty: Brand** | $300 copay* | $400 copay | $300 copay | Not covered |
| Mail Order Rx (up to 90-day supply) | ||||
| Preventive | $0 | Subject to tier | Subject to tier | Subject to tier |
| Generic | $37.50 copay* | $37.50 copay | $37.50 copay | Not covered |
| Preferred Brand | $100 copay* | $100 copay | $100 copay | Not covered |
*After deductible
** Must be filled through the Aetna Specialty Performance Pharmacy Network