Prescription Benefit Comparison

Use the chart below to see how your savings can really add up with Care Assured’s prescription drug benefits.

	Value Plus Plan	Premier Plus Plan
Monthly Premium	$0 (medical) + $29.40 (Rx) = $29.40 per month¹	$49.40 (medical) + $43.60 (Rx) = $93.00 per month¹
Annual Deductible	No Deductible. Coverage begins immediately.
Initial Coverage: Until total yearly drug costs reach $2,510
Copay for a one-month (31-Day) Supply at Participating Drug Store	Tier 1 = $7 Tier 2 = $35 Tier 3 = $70 Tier 4 = 25% coinsurance	Tier 1 = $5 Tier 2 = $35 Tier 3 = $ 70 Tier 4 = 25% coinsurance
Copay for a three-month (90-Day) Supply via Mail Order	Tier 1 Copay = $14 Tier 2 Copay = $70 Tier 3 Copay = $140 Tier 4 = 25% coinsurance	Tier 1 Copay = $10 Tier 2 Copay = $70 Tier 3 Copay = $140 Tier 4 = 25% coinsurance
Coverage Gap: After member’s total yearly drug costs reach $2,510 and until member’s yearly out-of-pocket drug costs reach $4,050
Copay for a one-month (31-Day) Supply at Participating Drug Store	Tiers 1-4: 100% of discounted costs.	Tier 1 = $5 copay Tiers 2-4: 100% of discounted costs
Copay for a three-month (90-Day) Supply via Mail Order	Tiers 1-4: 100% of discounted costs.	Tier 1 = $10 copay Tiers 2-4: 100% of discounted costs
Catastrophic Coverage: After member’s yearly out-of-pocket costs reach $4,050
Copay for a one-month (31-Day) Supply at Participating Drug Store	Greater of 5% or: Tier 1 Copay = $2.25 Tiers 2-4 Copay = $5.60	Greater of 5% or: Tier 1 Copay = $2.25 Tiers 2-4 Copay = $5.60
Copay for a three-month (90-Day) Supply via Mail Order	Greater of 5% or: Tier 1 Copay = $4.50 Tiers 2-4 Copay = $11.20	Greater of 5% or: Tier 1 Copay = $4.50 Tiers 2-4 Copay = $11.20

¹ You must continue to pay your Medicare Part B premium if not otherwise paid for under Medicaid or by another third-party.
Note: Neither Premier Plus nor Value Plus is available as a standalone prescription plan.

Calculate your Annual Drug Costs for your current medications.

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Prescription Benefit Comparison