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Prescription Drug

You or one of your family members will likely need medication at some point during the year. It’s important to understand your prescription drug plan to make the most of your benefits.

PRESCRIPTION DRUG PLAN FEATURES

When you enroll in a ZOLL medical plan, you automatically receive prescription drug coverage through OptumRx.

All plans offer three Tiers of Prescription Drugs.

  • Tier 1: Generic prescriptions are just as effective as name brand drugs at a fraction of the cost.
  • Tier 2: Preferred Brand prescriptions offer great value for a slightly higher cost.
  • Tier 3: Non-Preferred Brand prescriptions cost the most out of pocket.

The plans differ in your out-of-pocket costs. Refer to the Prescription Drug Plan Comparison below.

The Patient Protection and Affordable Care Act (PPACA) Drug List is a federally mandated list of medications free of cost to help prevent disease as well as meet unique health care needs. These drugs are at $0 cost regardless of which plan you are enrolled in.

PRESCRIPTION DRUG PLAN COMPARISON
Prescription Drugs – OptumRx – Plan Highlights
Plan Feature Retail Pharmacy
(30-Day Supply)
Home Delivery/Mail-Order
(90-Day Supply)
Surest Plan Saver Plan with HSA*
or
PPO Plan
Surest Plan Saver Plan with HSA*
or
PPO Plan
PPACA Drug List $0 $0 $0 $0
Preventive Drug List for CDHP Plans N/A Saver Plan with HSA – Copay

PPO Plan – N/A
N/A Two copays
Tier 1 $5 $10 $15 $20
Tier 2 $40 $30 $100 $60
Tier 3 $60 $45 $150 $90
Applies to the plan out-of-pocket maximum Yes Yes Yes Yes
* After deductible has been met
WHERE TO FILL YOUR PRESCRIPTION

You can fill your prescriptions at a Retail Pharmacy or through Mail Order. To maximize your savings, follow this guide:

If your prescription is Fill your prescription at
Short-Term Prescription (30-Day Supply) Nearest Retail Pharmacy
Maintenance or Long-Term Prescription (90 Day-Supply) Mail-Order Pharmacy

Maintenance medications are those you take to manage a chronic condition, such as high cholesterol or diabetes. You will receive three months of medication for the cost of two months’ worth of copays. Even better, the medication will be delivered right to your home. Shipping is free.

NEED MORE INFORMATION ON THIS BENEFIT?

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