Hi my name is Kristen. I work here at
Tufts Health Plan Medicare Preferred and this is the Medicare Minute. A prescription drug deductible is the
amount you pay for drugs before your plan pays their share. Several of our HMO plans have a prescription drug deductible. Our HMO Saver, Basic, and Value Rx plans have a prescription drug deductible for drugs on tiers three, four,
and five. A tier is a category for drugs. Each covered drug is on a tier, and the
tier number determines the general cost of the drug. Generally, drugs on tier one
and two are the least expensive, while drugs on tiers three, four, and five are
more expensive. To find out what tier your drug is on, check the formulary on
our website. Our HMO Saver, Basic, and Value Rx plans have a prescription drug
deductible for drugs on tiers three, four, and five.The deductible doesn’t apply to drugs on tiers one and two. For members in our HMO Saver, Basic, and Value Rx plans, the amount of the deductible ranges from $300 to $400,
depending on the plan you’re in. For example, if you’re in the HMO Value
Rx plan and have a prescription for a drug on tier three, four, or five, you
would pay the first three hundred dollars of your prescriptions before
your coverage begins. Once you pay your deductible in full, you would just have a
co-payment for any prescriptions. The best way to keep track of how close
you are to meeting your deductible is to check your CVS Caremark Explanation of
Benefits or “EOB.” If you have any questions, You can always give us a call.
We hope you found this helpful. Thanks for watching this edition of the
Medicare Minute.