Welcome to Northrop Grumman - Benefits Online

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Prescription Drug Coverage in the PPO and EPOs Your cost varies depending on the type of prescription drug you purchase Type of Drug Generic Network Retail Pharmacy (30-day supply) $5 copay or 10% coinsurance, whichever is greater Preferred Brand $20 copay or 10% coinsurance, whichever is greater Brand $40 copay or 10% coinsurance, whichever is greater Mail Service Pharmacy (up to 90-day supply) $5 copay or 10% coinsurance, whichever is greater $20 copay or 10% coinsurance, whichever is greater $40 copay or 10% coinsurance, whichever is greater In the PPO, you can go to a non-network pharmacy and pay 50% of the eligible cost. (Non-network coverage is not available in the EPOs.) The annual out-of-pocket maximum for prescription drugs is: • In the PPO – $2,000/individual and $4,000/family • In the EPOs – $1,500/individual and $3,000/family 12
Prescription Drug Coverage in the PPO and EPOs • Generics preferred: – Your prescriptions automatically will be filled with a chemically equivalent generic drug, if available and as appropriate. – If you or your doctor requests a brand-name drug when a generic equivalent is available, you will pay your copayment, plus the difference in cost between the generic drug and the brand-name drug. • Maintenance Medication Program: – If you take a maintenance prescription drug to treat an ongoing medical condition, you must fill your prescription using the mail-order service. • In order to allow for time to set up the mail-order service, new prescriptions may initially be filled 2 times at a retail pharmacy. – You will receive up to a three–month supply of your prescription drug, typically for less than you would pay for the same amount of your drug at a retail pharmacy, and your medication is delivered to you. 13
Page 1 and 2: Welcome to Northrop Grumman New Hir
Page 3 and 4: Northrop Grumman Health Plan Overvi
Page 5 and 6: If Your Spouse or Domestic Partner
Page 7 and 8: Medical Plan Options • Anthem Blu
Page 9 and 10: The Anthem Blue Cross Preferred PPO
Page 11: Aetna Global Benefits • Available
Page 15 and 16: Anthem CDHP Option The Anthem CDHP
Page 17 and 18: Best Doctors • Provides you with
Page 19 and 20: Employee Assistance Program (EAP) W
Page 21 and 22: Comparing the Delta Dental PPO Plan
Page 23 and 24: Flexible Spending Account (FSA) Opt
Page 25 and 26: Pharmacy Benefits Card for Health C
Page 27 and 28: Life Insurance • Basic life - Gre
Page 29 and 30: Accidental Death and Dismemberment
Page 31 and 32: Group Legal Legal Resources • Two
Page 33 and 34: Northrop Grumman Savings Plan — E
Page 35 and 36: 2009 Savings Contribution Limits Yo
Page 37 and 38: Path 1 ─ Retirement Path Portfoli
Page 39 and 40: Automatic Enrollment • If you hav
Page 41 and 42: Northrop Grumman Savings Plan ─ R
Page 43 and 44: Retirement Account Contributions
Page 45 and 46: Enrolling in Your Benefits
Page 47 and 48: Benefits OnLine http://benefits.nor
Page 49 and 50: My Benefits Access Log On 49
Page 51 and 52: Final Reminders • You must enroll

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