| Pharmacy Provider: | Express Scripts | www.Express-Scripts.com | 1-800-555-3432 |
|---|
With a Health Saver plan, the insured pays for the entire cost of the prescription drug until he or she has reached his or her deductible.
With this PPO plan, co-pays for preferred and non-preferred brand-name medications, which had remained stable since 2004 with GuideStone, increased January 1, 2016. Generic drug co-pays did not increase. Specialty prescriptions were reclassified under a new tiered structure, which includes generic, preferred and nonpreferred, with different co-pays at each tier. Participants may contact Express Scripts to inquire about how their prescriptions will be classified.
| Category | Health Choice 5000 | Health Choice 2000 |
|---|---|---|
| Generic co-pay Retail/home delivery | $15/$35 | $15/$35 |
Preferred drug co-pay* | $35/$90 | $35/$90 |
Non-preferred drug co-pay* | $50/$125 | $50/$125 |
| Specialty drug co-pay Retail/home delivery | $50/$50 (30-day supply) | $50/$50 (30-day supply) |
* If a preferred or non-preferred drug is purchased when a generic is available, you must pay the generic co-payment and the difference between the drug cost of the preferred/non-preferred drug and the drug cost of its generic equivalent.