IMRF Endorsed Plans
Prescription Drug Plans
Blue Cross and Blue Shield Medicare Part D
- Available to retirees residing in Illinois
- The stand alone plans listed below are independent of medical coverage plans
Value Plan
Plus Plan
Standard Plan
Deductible
$0.00
$0.00
$310.00
Generic co-pay
$11.00
$5.00
$3.00
Preferred brand co-pay
$45.00
$38.00
$27.00
Non-preferred co-pay
$89.00
$75.00
$78.00
Specialty drug co-pay
30% 33% 25%Mail order
(3 month supply)
* Generic
* Preferred Brand
* Non - Preferred
$27.50
$112.50
$222.50
$12.50
$67.50
$195.00
$7.50
$95.00
$187.50Monthly premium
$28.30
$78.50
$46.50
- Fees listed above apply until you reach $2,830.00 in annual drug costs. After annual drug costs exceed $2,830.00, the Value and Standard plans require you to pay 100% of drug costs until your out-of-pocket costs exceed $4,550.00. The Plus Plan requires a $5.00 co-pay for generics, $12.50 for a three month supply of generics at select pharmacies, and 100% of any other drugs during this time. Once your out-of-pocket drug costs exceed $4,350.00 for all three plans you pay the greater of a $2.50 co-payment for generic ($6.30 for preferred brand or brand name) or 5% coinsurance.
65 and Over Plans
Prescription Drug Plans
Delta Dental
Under 65 Plans
Long Term Care
United Healthcare Vision Plan




