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# SilverScript SmartRx SilverScript Choice SilverScript Plus
Monthly Premium$7.20 $29.50 $81.60
Annual Deductible$0 for Tier 1, and $445 for Tier 2-5$0 for Tier 1, and $250 for Tier 2-5$0
Tier 1$0$0$0
Tier 2$19$5$2
Tier 3$46$35$47
Tier 448%39%45%
Tier 525%28%33%
Coverage CapTotal yearly drug costs reach $4,130Total yearly drug costs reach $4,130Total yearly drug costs reach $4,130
Generic Drugs You pay 25% of the costYou pay 25% of the costYou pay 25% of the cost
Branded DrugsYou pay 25% of the costYou pay 25% of the costYou pay 25% of the cost
Catastrophic CoverageYou spent $6,550 out of pocket of drugsYou spent $6,550 out of pocket of drugsYou spent $6,550 out of pocket of drugs
Generic DrugsYou pay the greater of 5% or $3.70You pay the greater of 5% or $3.70You pay the greater of 5% or $3.70
Branded DrugsYou pay the greater of 5% or $9.20You pay the greater of 5% or $9.20You pay the greater of 5% or $9.20
Extra Benefits, Please refer to PDF
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〈Silver Script〉
# MedicareRx Saver Plus MedicareRx Walgreens MedicareRx Preferred
Monthly Premium$29.20$41.60 $99.30
Annual Deductible$445$0 for Tier 1, Tier 2
$445 for Tier 3, Tier 4, Tier 5
$0
Tier 1$1$0$5
Tier 2$5$6$10
Tier 3$25$40$45
Tier 440%40%40%
Tier 525%25%33%
Coverage CapTotal yearly drug costs reach $4,130Total yearly drug costs reach $4,130Total yearly drug costs reach $4,130
Generic DrugsYou pay 25% of the costYou pay 25% of the costYou pay 25% of the cost
Branded DrugsYou pay 25% of the costYou pay 25% of the costYou pay 25% of the cost
Catastrophic CoverageYou spent $6,550 out of pocket of drugsYou spent $6,550 out of pocket of drugsYou spent $6,550 out of pocket of drugs
Generic DrugsYou pay the greater of 5% or $3.70You pay the greater of 5% or $3.70You pay the greater of 5% or $3.70
Branded DrugsYou pay the greater of 5% or $9.20You pay the greater of 5% or $9.20You pay the greater of 5% or $9.20
Extra Benefits, Please refer to PDF PDF PDF
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〈UHC AARP〉
# MedicareRx Enhanced MedicareRx Plus MedicareRx Standard
Monthly Premium$26.10 $79.90 $84.20
Annual Deductible$0 for Tier 1, Tier 2
$300 for Tier 3, Tier 4, Tier 5
$0 $390
Tier 1$0$1$1
Tier 2$2$3$2
Tier 320%$43$32
Tier 439%45%27%
Tier 526%33%25%
Coverage CapTotal yearly drug costs reach $4,130Total yearly drug costs reach $4,130Total yearly drug costs reach $4,130
Generic DrugsYou pay 25% of the costYou pay 25% of the costYou pay 25% of the cost
Branded DrugsYou pay 25% of the costYou pay 25% of the costYou pay 25% of the cost
Catastrophic CoverageYou spent $6,550 out of pocket of drugsYou spent $6,550 out of pocket of drugsYou spent $6,550 out of pocket of drugs
Generic DrugsYou pay the greater of 5% or $3.70You pay the greater of 5% or $3.70You pay the greater of 5% or $3.70
Branded DrugsYou pay the greater of 5% or $9.20You pay the greater of 5% or $9.20You pay the greater of 5% or $9.20
Plan detail information PDF
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〈Blue Cross〉
# Blue Shield Rx Plus Blue Shield Rx Enhanced
Monthly Premium$59.00$130.40
Annual Deductible (1/1~12/31)$0 for Tier 1, and $445 for Tier 2-5 $0
Tier 1$2$2
Tier 2$6$7
Tier 3$39$43
Tier 441%33%
Tier 525%33%
Coverage CapTotal yearly drug costs reach $4,130Total yearly drug costs reach $4,130
Generic DrugsYou pay 25% of the costYou pay 25% of the cost
Branded DrugsYou pay 25% of the costYou pay 25% of the cost
Catastrophic CoverageYou spent $6,550 out of pocket of drugsYou spent $6,550 out of pocket of drugs
Generic DrugsYou pay the greater of 5% or $3.70You pay the greater of 5% or $3.70
Branded DrugsYou pay the greater of 5% or $9.20You pay the greater of 5% or $9.20
Plan detail information PDF
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〈Blue Shield〉
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