Getting to Know Your Benefits: Pharmacy and Tier 2 Coverage Changes
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Getting to Know Your Benefits: Pharmacy and Tier 2 Coverage Changes

Benefits can be complicated, so we want to provide you with the tools to best understand your coverage.

Pharmacy
The chart below includes the cost of prescriptions, so you can plan for your expenses depending on the classification of your medication as generic, preferred, non-preferred, or specialty. Click here to learn more about which commons medications fall into which category.

The Kettering Health Network medical plan is managed by UMR and the pharmacy plan is managed by ApproRx. For questions on your pharmacy coverage, please call ApproRx at 1-866-900-3711 or Employee Connect at 1-844-235-4647 or extension 70000.  Employees and dependents can also access ApproRx here.

For those on the Engaged PPO Plan, your deductible does not apply to these costs. For those on the HDHP Plan, your deductible does apply.

 

 

 

 

 

Tier 2 Medical Coverage
This year, tier 2 coverage is now 70/30% after deductible with the exception of emergency care. This is an increase in employee coverage from last year’s 50/50%.

Each plan is detailed in the charts below for your reference.

 

 

 

 

 

 

 

 

February 15, 2019