Here’s What the Plan Pays
IN NETWORK | OUT OF NETWORK | |
---|---|---|
Preventive Retail & Mail Order | ||
Generic | 100% | 60% after deductible |
Branded | 85% | 40% after deductible |
Non-Preventive Retail & Mail Order | ||
Generic | 85% after deductible | 60% after deductible |
Branded | 85% after deductible | 40% after deductible |