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Kaiser California
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Kaiser California
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Kaiser Oregon
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Rx Savings
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Rx Savings
What You Need To Know
Medicine goes down a lot easier when you have affordable ways to pay for it. How much you’ll pay for a prescription depends on the type of medication and where you go to fill it. All plans offer convenient home delivery for certain medications — one less thing you need to think about.
Ways to Save
You have options when it comes to filling prescription drugs, and the choices you make can help you save money. Here are some cost-saving tips to keep in mind:
- Visit Rx Savings Solutions to access a personalized prescription guidance tool for UnitedHealthcare members. Enter some basic information about your medication and location to find out which pharmacies in your area carry the medication, whether it’s covered by your plan, and what it will cost at each location so you can score the best price.
- Choose lower-cost generic medications over brand-name drugs, and use the drug-pricing tools on your insurance carrier’s website.
- Use pharmacies in your plan network.
- Take advantage of the mail-order service for maintenance medications.
What You Pay: UHC
The amounts shown below reflect the use of in-network pharmacies. If you use a non-network pharmacy for retail drugs, you’ll pay 30% (HS Standard and Premium Plans) or 40% (HS Basic Plan) after the deductible. Mail-order drugs aren’t available through non-network pharmacies.
| HS Basic Plan | HS Standard Plan | HS Premium Plan | |
|---|---|---|---|
| Retail Drugs (31-day supply)* | You pay after deductible** Tier 1: $5 Tier 2: 20%, $50 max Tier 3: 20%, $75 max | You pay after deductible** Tier 1: $5 Tier 2: 10%, $50 max Tier 3: 10%, $75 max | You pay after deductible** Tier 1: $5 Tier 2: 10%, $50 max Tier 3: 10%, $75 max |
| Mail-Order Drugs (90-day supply) | You pay after deductible** Tier 1: $10 Tier 2: 20%, $100 max Tier 3: 20%, $150 max | You pay after deductible** Tier 1: $10 Tier 2: 10%, $100 max Tier 3: 10%, $150 max | You pay after deductible** Tier 1: $10 Tier 2: 10%, $100 max Tier 3: 10%, $150 max |
* A copay will apply to specialty drugs that fall within the UHC Specialty Drug Program for retail prescriptions up to 31 days.
** Deductible waived for preventive care drugs.
What You Pay: Kaiser
| Kaiser California and Oregon | |
|---|---|
| Retail Drugs | You pay $10 generic / $30 brand (up to a 30-day supply) |
| Mail-Order Drugs | You pay $20 generic / $60 brand (up to a 100-day supply in CA / up to a 90-day supply in OR) |