Prescription Drug Program
Effective: January 1, 2009
Prescription
drug program coverage is provided by CaremarkPCS.
Medical Plan A or B Prescription Benefits
- Tier 1 Generic -
- 20% coinsurance
- Tier 2 Preferred brand -
- 35% coinsurance
- Tier 3 Specialty -
- $75 copayment
- Coinsurance/copayment maximum for Tier 1, 2 &
3 -
- $2,580/person/plan
year
- Tier 4 Non-preferred brand -
- 60% coinsurance
Chronic Care - Diabetes and Asthmatic medications
- Generic -
- 10% to a maximum of $10 for a 30 day
supply
- Preferred brand -
- 20% to a maximum of $20 for a 30 day
supply
Medical Plan C Prescription Benefits
Network Deductible-$1,500 single/$3,000 family deductible
(prescriptions are included in the medical deductible)
Network Provider
- Generic -
- Deductible then $10 copayment
- Preferred brand -
- Deductible then $30 copayment
- Non-preferred brand -
- Deductible then $55 copayment
Medical Plan C Prescription Benefits
Non Network Deductible-$2,000 single/$4,000 family deductible
(prescriptions are included in the medical deductible)
Non Network Provider
- Generic -
- Deductible then $20 copayment
- Preferred brand -
- Deductible then $60 copayment
- Non-preferred brand -
- Deductible then $110 copayment
When Eligible: First day of the month
following 60 days of employment, during open enrollment, or within 31 days
of a qualifying event. (Must be enrolled in group health insurance.)
Who Pays: The university and employee (full-time
and
part-time) both contribute toward the cost of employee prescription
medication coverage. The university and employee (full-time and part-time)
both contribute toward the cost of dependent prescription medication
coverage.
Website: State of
Kansas 2009 Health Insurance
Information
Website: http://www2.caremark.com/kse/
Related Link: Active
Employee Prescription Drug Advance Purchase Policy (pdf)
-forms
also available by contacting Human Resources-Benefits at (785)
532-6277.
Forms:
Other Health Insurance