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2008 Kaiser Permanente of the Mid Atlantic Region
Medicare Plan C++ Health Option

Available to Medicare-eligible plan participants due to age or disability

  • HMO Medicare Cost Plan that includes prescription drug benefits
  • If you are participating in this health option it is not necessary to enroll in a Medicare Part D prescription drug plan.
  • If you are not currently participating in this health option and are interested, please contact the HR Service Center at 202-334-3400 immediately.

Prescription Drug Provision

     

Deductible

None

 
     

Initial Coverage

 

Kaiser Permanente Mail Order Program

$5

copayment for up to a 60-day supply of generic or brand name

$5

copayment for 90-day supply of generic or brand name maintenance medications

     

Kaiser Permanente Medical Center Pharmacy

$10

copayment for up to a 60-day supply of generic or brand name

     

Kaiser Permanente Affiliated Network Pharmacy

$15

copayment for up to a 60-day supply of generic or brand name

     

Annual Coverage Gap

 

Kaiser Permanente Mail Order Program

$5

copayment for up to a 60-day supply of generic or brand name

$5

copayment for 90-day supply of generic or brand name maintenance medications

     

Kaiser Permanente Medical Center Pharmacy

$10

copayment for up to a 60-day supply of generic or brand name

   

Kaiser Permanente Affiliated Network Pharmacy

$15

copayment for up to a 60-day supply of generic or brand name

   

Catastrophic Protection

 

Kaiser Permanente Mail Order Program

$5

copayment for up to a 60-day supply of generic or brand name

$5

copayment for 90-day supply of generic or brand name maintenance medications

   

Kaiser Permanente Medical Center Pharmacy

$10

copayment for up to a 60-day supply of generic or brand name

   

Kaiser Permanente Affiliated Network Pharmacy

$15

copayment for up to a 60-day supply of generic or brand name

2008 Overview of Medicare Part D Prescription Drug Plans

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