Plan 1: $4 generic copayment / maximum $7,500 calendar year / 80% of maximum chargeable after CYD (Brand) / maximum $7,500 calendar year / 80% of maximum chargeable after CYD (Specialty) $7,500 maximum per calendar year
Plan 2: 80% of the maximum charge that can be made after CYD (Generic), 80% of the maximum charge that can be made after CYD (Brand), and 80% of the maximum charge that can be made after CYD (Specialty).
The first plan charges a minimal fee for generic drugs but limits the amount you can spend on brand-name and specialty drugs each year.
After you hit that limit, your insurer will reimburse 80% of the cost of the medications. The second option has no fee for generic medications, but no annual cap. It covers 80% of the cost of all prescriptions, but you must pay more ahead. The optimal plan for you is determined by the medications you require and the amount you anticipate spending on them.
Plan 1 has a $4 copay with $7,500 max/year; Plan 2 covers 80% after CYD for all types.Plan 1 has a $4 copay with $7,500 max/year; Plan 2 covers 80% after CYD for all types.