IMRF Endorsed Plans

Prescription Drug Plans

Humana Part D Plans

• Available to retirees nationwide
• The stand alone plans listed below are independent of medical coverage plans

	Standard	Enhanced	Complete
Deductible	$275.00	$0.00	$0.00
Generic co-pay	25%	$4.00	$4.00
Preferred brand co-pay	25%	$25.00	$25.00
Brand name co-pay	25%	$54.00	$54.00
Speciality drug co-pay	25%	25%	25%
Mail order 3 month supply	25%	Preferred generic - $0	Preferred generic - $0
		Preferred brand - $62.50	Preferred brand - $62.50
		Non-preferred brand - $135.00	Non-preferred brand- $135.00
3 month supply at select pharmacies	25%	Preferred generic - $12.00	Preferred generic - $12.00
		Preferred brand - $75.00	Preferred brand - $75.00
		Non-preferred brand - $162.00	Non-preferred brand- $162.00
Monthly premium	$26.50	$31.40	$94.40 (includes generic Rx benefits during "gap-in-coverage" period, see below)

 

• Fees listed above apply until you reach $2,510.00 in annual drug costs. After annual drug costs exceed $2,510.00, the Standard and Enhanced plans require you to pay 100% of drug costs until your out-of-pocket costs exceed $4,050.00. The Complete plan now requires you to pay a $4.00 co-pay for preferred generics, $0 co-pay for preferred generics through preferred mail order, $12.00 co-pay for preferred generics for 3-month supply at select pharmacies, and 100% of any other drugs during this time. Once your out-of-pocket drug costs exceed $4,050.00 for all three plans you pay the greater of a $2.25 co-payment for generic ($5.60 for preferred brand or brand name) or 5% coinsurance. You pay 5% for specialty drugs - under Complete and Enhanced plans specialty drugs can only be purchased in a 30-day supply.