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

2025 LivingWell PPO

 

Are you willing to pay more in premiums to limit your out-of-pocket costs to a co-payment for certain services? The LivingWell PPO may be the plan for you.
            • Co-pays apply to doctor’s office visits, allergy serum, allergy shots, urgent care centers, and non-specialty prescriptions.
            • An emergency room co-pay, plus your deductible and then co-insurance, will apply when you use an emergency room. 
            • Your co-pays will not apply to your deductible.
            • ​Your co-pays will apply to your maximum out-of-pocket. Once your out-of-pocket is met, no other co-pays apply.
            • Most expenses are subject to the deductible and then covered at 75%.
            • ​This plan has two maximum out-of-pocket amounts — one for medical expenses and the other for prescription expenses. They accumulate separately, which means you may pay more out of your pocket depending on your expenses.​​

Click ​here to see the actual cost of your prescription(s) from a participating pharmacy of your choice. In the LivingWell PPO you are responsible for a flat copay amount depending on the prescription drug tier. This plan also has a separate annual prescription drug maximum out-of-pocket. 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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