updates

summary-of-benefits-paragraphs.txt

@@ -151,34 +151,25 @@ This plan does not have a deductible for prescription drugs.
 For the Initial coverage, you are responsible to pay for a 30-day supply or a 90-day supply the amount based on the tier of the prescription drug. A prescription drug can be either in tier 1 preferred generic, tier 2 generic, tier 3 preferred brand, tier 4 non-preferred drug, or tier 5 specialty tier. You are responsible to pay for prescription drugs until the total yearly drug costs reach $4,660 . The total yearly drug costs are the total drug costs paid by both you and our plan. Once you reach this amount, you will enter the Coverage Gap. 
 There are two different kinds of cost-sharing for prescription drugs, including Mail Order Cost-Sharing and Retail Cost-Sharing. There are two different kinds of Mail Order pharmacy options, Standard and Preferred. The Mail order pharmacy option called Standard includes Walmart Mail, PillPack and other pharmacies that are also available in our network. To find pharmacy mail order options go to Humana.com/pharmacyfinder  . The second type of mail order pharmacy option is the Preferred pharmacy option, which includes only the CenterWell Pharmacy.
 For the Standard Mail order pharmacy option, for Tier 1 Preferred Generic drugs, the 30-day supply costs $10 and the 90-day supply costs $30.
-For the Standard Mail order pharmacy option, for Tier 2: Generic drugs, the 30-day supply costs $20 and the 90-day supply costs $60.
-For the Standard Mail order pharmacy option, for Tier 3: Preferred Brand drugs, the 30-day supply costs $47 and the 90-day supply costs $141.
-For the Standard Mail order pharmacy option, for Tier 4: Non-Preferred drugs, the 30-day supply costs $100 and the 90-day supply costs $300.
-For the Standard Mail order pharmacy option, for Tier 5: Specialty Tier drugs, the 30-day supply costs 33% and the 90-day supply is not available.
+For the Standard Mail order pharmacy option, for Tier 2 Generic drugs, the 30-day supply costs $20 and the 90-day supply costs $60.
+For the Standard Mail order pharmacy option, for Tier 3 Preferred Brand drugs, the 30-day supply costs $47 and the 90-day supply costs $141.
+For the Standard Mail order pharmacy option, for Tier 4 Non-Preferred drugs, the 30-day supply costs $100 and the 90-day supply costs $300.
+For the Standard Mail order pharmacy option, for Tier 5 Specialty Tier drugs, the 30-day supply costs 33% and the 90-day supply is not available.
 For the Preferred CenterWell Pharmacy Mail order pharmacy option, for Tier 1 Preferred Generic drugs, the 30-day supply costs $0 and the 90-day supply costs $0.
-For the Preferred CenterWell Pharmacy Mail order pharmacy option, for Tier 2: Generic drugs, the 30-day supply costs $0 and the 90-day supply costs $0.
-For the Preferred CenterWell Pharmacy Mail order pharmacy option, for Tier 3: Preferred Brand drugs, the 30-day supply costs $42 and the 90-day supply costs $116.
-For the Preferred CenterWell Pharmacy Mail order pharmacy option, for Tier 4: Non-Preferred drugs, the 30-day supply costs $100 and the 90-day supply costs $290.
-For the Preferred CenterWell Pharmacy Mail order pharmacy option, for Tier 5: Specialty Tier drugs, the 30-day supply costs 33% and the 90-day supply is not available.
-
-Retail Cost-Sharing 
-Pharmacy options Retail All network retail pharmacies. To find the retail pharmacies near 
-you, go to Humana.com/pharmacyfinder 
-N/A 30-day supply 90-day supply* 
-Tier 1: Preferred Generic $0 $0 
-Tier 2: Generic $0 $0 
-Tier 3: Preferred Brand $42 $126 
-Tier 4: Non-Preferred 
-Drug 
-$100 $300 
-Tier 5: Specialty Tier 33% N/A 
-Your plan participates in the Insulin Savings Program. You will pay no more than $35 for a one-month (up 
-to a 30-day) supply for Select Insulins, no matter what cost-sharing tier it’s on . To identify which Select 
-Insulins are included within the Insulin Savings Program, look for the ISP indicator in your Prescription 
+For the Preferred CenterWell Pharmacy Mail order pharmacy option, for Tier 2 Generic drugs, the 30-day supply costs $0 and the 90-day supply costs $0.
+For the Preferred CenterWell Pharmacy Mail order pharmacy option, for Tier 3 Preferred Brand drugs, the 30-day supply costs $42 and the 90-day supply costs $116.
+For the Preferred CenterWell Pharmacy Mail order pharmacy option, for Tier 4 Non-Preferred drugs, the 30-day supply costs $100 and the 90-day supply costs $290.
+For the Preferred CenterWell Pharmacy Mail order pharmacy option, for Tier 5 Specialty Tier drugs, the 30-day supply costs 33% and the 90-day supply is not available.
+The other kind of prescription drug cost sharing is called Retail Cost-Sharing, which means that you can physically go to the pharmacy. You can go to any network retail pharmacy.  To find the retail pharmacies near you, go to Humana.com/pharmacyfinder 
+For the retail pharmacy option, for Tier 1 Preferred Generic drugs, the 30-day supply costs $0 and the 90-day supply costs $0.
+For the retail pharmacy option, for Tier 2 Generic drugs, the 30-day supply costs $0 and the 90-day supply costs $0.
+For the retail pharmacy option, for Tier 3 Preferred Brand drugs, the 30-day supply costs $42 and the 90-day supply costs $116.
+For the retail pharmacy option, for Tier 4 Non-Preferred drugs, the 30-day supply costs $100 and the 90-day supply costs $300.
+For the retail pharmacy option, for Tier 5 Specialty Tier drugs, the 30-day supply costs 33% and the 90-day supply is not available.
+
+Your plan participates in the Insulin Savings Program. You will pay no more than $35 for a one-month (up to a 30-day) supply for Select Insulins, no matter what cost-sharing tier it’s on . To identify which Select Insulins are included within the Insulin Savings Program, look for the ISP indicator in your Prescription 
 Drug Guide. You are not eligible for this program if you receive "Extra Help". 
-Your plan also provides enhanced insulin coverage which means you will pay no more than $35 for a 
-one-month (up to 30-day) supply for all Part D insulins covered by our plan, including Select Insulins, no 
-matter what cost-sharing tier it’s on . The enhanced insulin coverage is available, even if you receive "Extra 
+Your plan also provides enhanced insulin coverage which means you will pay no more than $35 for a one-month (up to 30-day) supply for all Part D insulins covered by our plan, including Select Insulins, no matter what cost-sharing tier it’s on . The enhanced insulin coverage is available, even if you receive "Extra 
 Help". 
 Your share of the cost for Select Insulins: 
 Mail Order Cost-Sharing for Select Insulins