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International Union of Operating Engineers: Local 399
handw.jpg2017 Summary of Benefits Coverage Document now Available

Prescription Benefits


 

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International Union of Operating Engineers Local 399
Health & Welfare Fund

Summary of Prescription Drug Benefit


Effective February 1, 2015


 

           Pharmacy Benefit
Manager
    CAREMARK
       
  Deductible   None
 
 
   
  Plan Pays at the Retail
Pharmacy
  70% generic;   60% brand name
50% after 3rd retail fill of same drug
 
 
   
  Plan Pays at Mail Order
or CVS Pharmacy
      70% generic and brand name
for 90-day supply
 
 
   
 

Excluded Prescription Drug
Catagories

 

 

 

 

 

 

  Cosmetic or weight loss

Fertility, i.e., Clomid

Impotency, i.e., Viagra

Vitamins

Smoking cessation

Experimental or not approved by
FDA
 
 
   
  Plan Exclusion   Prescriptions filled at Wal-Mart &
Sam's Club


 

_____________________________________________________________________
 

 

How to Use Your Prescription Drug Benefit

 

             Retail:  Present your prescription and your CAREMARK ID card at any pharmacy
in the CAREMARK network (most major chains are included).  You will be asked 
to pay your 30 or 40% coinsurance.

Maintenance Drugs:  Medications that you take long-term (90-day fills for 12 month
period) can be filled through CAREMARK's mail order facility or at CVS pharmacies.

Mail order forms are available at the Fund Office or online at www.caremark.com



For additional information, click here to view/download a copy of our
2015 Summary Plan Description Book