updates

summary-of-benefits-paragraphs.txt

@@ -143,11 +143,12 @@ Our plan covers most Part D vaccines at no cost to you, no matter what cost-shar
 
 Here is information about What You Pay for Insulin .
 You won’t pay more than $35 for a one-month (up to 30-day) supply of each Part D insulin product covered by our plan, no matter what cost-sharing tier it’s on . This applies to all Part D covered insulins, 
-including the Select Insulins covered under the Insulin Savings Program as described below. If you receive 
-"Extra Help", you will still pay no more than $35 for a one-month supply for each Part D covered insulin. 
+including the Select Insulins covered under the Insulin Savings Program as described below. 
+What you pay for prescription drugs depends on whether you receive "Extra Help" or not.
+ If you receive "Extra Help", you will still pay no more than $35 for a one-month supply for each Part D covered insulin. 
 Please see your Prescription Drug Guide to find all Part D insulins covered by your plan. 
-If you don't receive Extra Help for your drugs, you'll pay a different amount based on
 This plan does not have a deductible for prescription drugs. 
+If you don't receive Extra Help for your drugs, you'll pay a different amount based on the type of cost-sharing option you use.
 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.
@@ -178,34 +179,10 @@ For the preferred CenterWell  mail order cost-sharing pharmacy option for select
 For the retail cost-sharing option for buying select insulin drugs, you can got to any in network retailer pharmacies. 
 For the retail cost-sharing option for buying select insuling drugs, for the tier 3 preferred brand option the 30-day supply costs $35 and the 90-day supply costs $105.
 
-If you receive Extra Help for your drugs, you'll pay the following: 
-Deductible This plan does not have a deductible. 
-Pharmacy cost-sharing 
-For generic drugs 
-(including 
-30-day supply 90-day supply* 
-brand drugs treated as 
-generic), either: 
-$0 copay; or 
-$1.45 copay; or 
-$4.15 copay ; or 
-15% of the cost 
-$0 copay; or 
-$1.45 copay; or 
-$4.15 copay ; or 
-15% of the cost 
-For all other drugs, 
-either: 
-$0 copay; or 
-$4 .30 copay; or 
-$10.35 copay ; or 
-15% of the cost 
-$0 copay; or 
-$4 .30 copay; or 
-$10.35 copay ; or 
-15% of the cost 
-Other pharmacies are available in our network. 
-*Some drugs are limited to a 30-day supply 
+If you receive Extra Help for your drugs, you'll pay the following copay depending on whether you choose generic drugs and depending on whether you choose a 30-day supply or a 90-day supply.  This plan does not have a deductible. 
+For generic drugs,  for a 30-day supply, you  pay a $0 copay and for a 90-day supply you pay a $0 copay or you can also just pay 15% of the cost.
+For brand name drugs that happen to be treated as generic drugs, you pay a $1.45 copay for a 30-day supply and for a 90-day supply you pay a $1.45 copay or you can also just pay 15% of the cost.
+Note that some drugs are only limited to a 30-day supply.
 
 ADDITIONAL DRUG COVERAGE 
 Erectile dysfunction (ED)