Prescription Drug Coverage
As costs of prescription drugs continue to rise, KEHP wants to help you by reducing what you have to pay! For several years, KEHP has offered Value Benefits, and we now know that you are being more compliant in taking your medications – because they cost you less! This is effective in improving your health, saving you money, and reducing plan costs. It's a win-win for all!
The Value Benefit for diabetes, COPD, asthma, and hypertension means your costs are reduced if you receive maintenance prescriptions or supplies. Some examples include:
Inhalers
Pressure machines
Infusion pumps
Blood pressure monitoring devices
Cardiac monitors
Supplies and durable medical equipment
You will pay a reduced co-pay and/or co-insurance, and you won't have a deductible.
See the chart below for the cost that you will pay. The maximum you will pay for a 30-day supply of insulin is $30.
Most supplies and durable medical equipment related to diabetes, COPD, asthma, and hypertension are covered in full with NO DEDUCTIBLE.
| Value Benefit Design | LivingWell CDHP | LivingWell PPO | LivingWell Basic CDHP | LivingWell HDHP |
|---|
| 1 to 30 - Day Supply
(Retail) | (No Deductible) | | (No Deductible) | (No Deductible) |
|---|
| Tier 1 – Generic | 0% | $0 | 0% | 0% |
|---|
| Tier 2 – Formulary | 10% | $25 | 25% | 25% |
|---|
| 31 to 90 - Day Supply
(Retail or Mail Order) | (No Deductible) | | (No Deductible) | (No Deductible) |
|---|
| Tier 1 – Generic | 0% | $0 | 0% | 0% |
|---|
| Tier 2 – Formulary | 10% | $50 | 25% | 25% |
|---|