What you need to know
Do you take an ongoing prescription? Skip the line at the pharmacy, and use the mail-order service. You can order online, and your prescription will be mailed to your door.
Both medical plans include prescription drug coverage. The Kaiser HMO provides coverage through its network pharmacies and mail-order services.
The HMSA PPO plan provides coverage through the CVS Caremark pharmacy network and mail-order service.
You can get a fill or refill of up to a 30-day supply at a retail pharmacy and up to a 90-day supply through the mail-order service.
Find a pharmacy or use the mail-order service
What you pay for prescriptions
Kaiser HMO
| In-Network | |
|---|---|
| Generic at pharmacy | $3 (maintenance) $10 (non-maintenance) |
| Generic mail order | $6 (maintenance) $20 (non-maintenance) |
| Preferred brand-name at pharmacy | $45 |
| Preferred brand-name mail order | $90 |
| Non-preferred brand-name at pharmacy | Not covered |
| Non-preferred brand-name mail order | Not covered |
| Specialty medications | $200 |
HMSA PPO
The HMSA PPO has a separate out-of-pocket maximum for prescription drugs of $3,600 individual and $4,200 family.
| In-Network | |
|---|---|
| Generic at pharmacy | $7 |
| Generic mail order | $11 |
| Preferred brand-name at pharmacy | $30 |
| Preferred brand-name mail order | $65 |
| Non-preferred brand-name at pharmacy | $75 |
| Non-preferred brand-name mail order | $200 |
| Specialty medications | $100 (Preferred brand) $200 (Non-preferred brand) |