Michigan Public School Employees Retirement System (MPSERS)

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8 Coverage Highlights ● Overview—Your current coverage » LivingWell Health Assessment will be mailed to members in the Fall and also advertised in the quarterly Best of Health publication. ● Out of Pocket Maximums » $1,000 for Medicare Part D enrolled members. ● $900 for Medicare members after completing the LivingWell Health Assessment. » $1,000 for Non-Medicare members. ● $900 for Non-Medicare members after completing the LivingWell Health Assessment. » Co-Insurance ● 20% member cost-share for all generics, formulary brands and preferred specialty medications (tiers 1,2,4). » $7.00 minimum and $36 maximum for < 31-day supply. » $17.50 minimum and $90 maximum for 90-day supply. ● 40% member cost-share for all non-formulary brands and nonpreferred specialty brand medications (tier 3,4). » $7.00 minimum and no maximum for < 31-day supply. » $17.50 minimum and no maximum for 90-day supply. © Catamaran 2012. All Rights Reserved. May not be copied or distributed without authorization.
Three Months Supply Mail Service through Mail Order Pharmacy & the 90-day at Retail Program © Catamaran 2012. All Rights Reserved. May not be copied or distributed without authorization.
Page 1 and 2: 2012 - 2013 Michigan Public School
Page 3 and 4: Pharmacy Benefits Management (PBM)
Page 5 and 6: Coverage Highlights Prescription Dr
Page 7: 7 Coverage Highlights - ID Cards
Page 11 and 12: 11 Mail Service Contact Information
Page 13 and 14: 13 90-day at Retail Program Informa
Page 15 and 16: 15 Stages of Coverage ● Medicare
Page 17 and 18: 17 Looking Forward to the Future
Page 19 and 20: 19 Resources ● Non-Medicare Membe

Michigan Public School Employees Retirement System (MPSERS)

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