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View all items in: Prescription Drug Benefits
Your Cost For Care
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Question/Topic
How does the UMP prescription drug deductible work?
Answer/Article

There is no deductible for Tier 1 (generic) drugs.

You must pay a prescription drug deductible to the pharmacy for purchases of Tier 2 and Tier 3 (brand-name) prescription drugs before the plan covers these prescriptions. This deductible is $100 per person (a maximum of $300 for a family of three or more people covered under the same account). You pay the deductible plus any applicable coinsurance or copay, up to the cost of the drug. The deductible applies regardless of where you purchase your prescription. Once you meet the deductible, the plan pays benefits for the rest of the calendar year.

NOTE: What you pay (copays and coinsurance) for Tier 1 drugs does not count toward your prescription drug deductible.

The prescription drug and medical deductibles are separate: Prescription drug purchases do not count toward your medical deductible. Medical services do not count toward your prescription drug deductible.


Related Items Related Links
Using network pharmacies
Prescription cost-limit for Tier 1 and Tier 2 prescription drugs
 
KBID 600
Date Modified 1/8/2010
Date Created 10/30/2006

The Certificate of Coverage (COC) is the source of coverage provisions offered under UMP. If information given here is inconsistent with the UMP COC, the rules in the COC will apply. Also, the COC may have additional information on this subject.

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