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2013 benefits open enrollment guide - Jones Lang LaSalle

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Kaiser Permanente Prescription drug coverage – California and Oregon<br />

Each medical option provides comprehensive prescription drug coverage as described below. All prescriptions must be filled through a Kaiser<br />

Permanente pharmacy.<br />

• Standard<br />

––<br />

Benefits are paid for all prescription drugs before medical deductible is met.<br />

––<br />

Prescription drug coinsurance does not count toward your out-of-pocket maximum.<br />

• Plus and Basic<br />

––<br />

Prescription drug <strong>benefits</strong> are not paid until you meet your medical deductible.<br />

Prescription Drugs<br />

Pharmacy/Retail: Generic<br />

Pharmacy/Retail: Brand<br />

Pharmacy/Retail: Day Supply<br />

Mail Order - Generic<br />

Mail Order - Brand<br />

Mail Order - Day Supply<br />

Kaiser Permanente - Oregon + California<br />

$10 Co-pay<br />

$30 Co-pay<br />

30-day supply<br />

$20 Co-pay<br />

$60 Co-pay<br />

90-day supply<br />

Page 27

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