| Questions you should ask about each plan |
Provider Name
|
Provider Name
|
Provider Name
|
Provider Name
|
Formulary
Are all of my current medications covered? |
Yes
|
No
|
Yes
|
No
|
Yes
|
No
|
Yes
|
No
|
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|
|
|
|
|
|
|
Premium
What monthly charge will I pay to participate? |
|
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|
|
Deductible
How much will I pay out-of-pocket each year before the plan begins to pay for my drugs? |
|
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|
Co-payment / Coinsurance
Will I pay a fixed amount (co-pay) or a percentage (coinsurance) for each prescription? |
|
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|
How much will I pay for each brand name prescription?
(Some plans have different co-pay prices for different branded drugs.) |
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| How much will I pay for each generic prescription? |
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Coverage Gap
Will the plan pay a portion of my drug costs during the “Coverage Gap”? |
Yes
|
No
|
Yes
|
No
|
Yes
|
No
|
Yes
|
No
|
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Pharmacy
Can I fill my prescriptions at any pharmacy I choose? |
Yes
|
No
|
Yes
|
No
|
Yes
|
No
|
Yes
|
No
|
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| Notes: |
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