CO-PAYMENT CHANGE
Please be advised that pharmacy co-payments will change as of May 1, 2014. Co-payments will once again be assessed on the total allowed charge for the prescription, regardless of preferred or non-preferred status.
The table below displays the new co-payment structure. All member categories previously excluded from co-pays will continue to be excluded.
| $0.00 - 5.00 |
$0.00 |
| $5.01 - 10.00 |
$0.50 |
| $10.01 - 25.00 |
$1.00 |
| $25.01 - 50.00 |
$2.00 |
| $50.01 and above |
$3.00 |
Beginning April 1, 2014, members will have a maximum out-of-pocket payment. The most the member will be required to pay for prescription drugs is displayed in the table below.
| 1 (Below 50% of FPL |
$8.00 |
| 2 (50.01% - 100% of FPL) |
$71.00 |
| 3 (100.01% - 150% of FPL) |
$143 |