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​​​​​​​​​​ Home > Open Enrollment > OE-LivingWell PPO

2024 LivingWell PPO

 

​The LivingWell Preferred Provider Organization (PPO) is a traditional health plan.
            • You will have a higher premium with this plan option because there are co-payments for certain services, rather than co-insurance.
            • Your co-pays will not apply to your deductible, but will apply to your out-of-pocket maximum.
            • ​You will have a co-payment for both prescriptions tiers.
            • Your pharmacy benefit preferred drug listing — sometimes called a formulary — is the Value Formulary administered by CVS Caremark. 
            • Your medical out-of-pocket maximum is separate from your pharmacy out-of-pocket maximum, and they accumulate separately.​

Click ​here to see the actual cost of your prescription(s) from a participating pharmacy of your choice. In the LivingWell CDHP, once you have met your annual deductible, the plan pays 80% and you are responsible for the remaining 20%. You may receive a 30-day or 90-day supply at any participating retail pharmacy, or a 90-day supply through CVS mail order program.

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