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2008 Aetna Open Choice PPO Health Option
Available to Medicare-eligible plan participants due to disability only
- Preferred provider organization health option, coordinating benefits with Medicare as primary payor. Prescription drug benefits qualify as “creditable coverage” under Medicare Part D.
- If you are not currently participating in this health option and are interested, please contact the HR Service Center at 202-334-3400.
Prescription Drug Plan Provision
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Plan Benefit
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Deductible
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None
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Pharmacy
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Generic
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$10 copayment for up to a 30-day supply
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Formulary Brand Name
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$25 copayment for up to a 30-day supply
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Non-Formulary Brand Name
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$50 copayment for up to a 30-day supply
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Mail Order
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Generic
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$20 copayment for up to a 90-day supply
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Preferred Brand
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$50 copayment for up to a 90-day supply
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Non Preferred Brand
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$100 copayment for up to a 90-day supply
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2008 Overview of Medicare Part D Prescription Drug Plans 
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