Starting 1/1/2020: You will be able to get up to a 90-day supply for Smart Formulary Drugs at any of our 4 free pharmacies.
|UNITE HERE HEALTH –
218 S. Wabash, 4th Floor
Chicago, IL 60604
7447 W. Talcott, Professional Building
Chicago, IL 60631
101 W. U.S. Highway 20
Michigan City, IN 46360
2500 Grant St.
Gary, IN 46404
|What you pay
When you use a network or mail order pharmacy
|Certain preventive drugs/supplies||$0|
|Generic drugs||$10 copay|
|Preferred brand name drugs||$30 copay|
|Select Specialty and Select Biosimilar Drugs||Generic: $10 copay
Brand: 25% coinsurance
|Existing out-of-pocket limits continue to apply.|
Brand name drug with generic available
If you or your healthcare provider insist on a brand name drug when a generic equivalent is available, you must pay the generic copay plus the difference in cost between the brand and generic drug.
If the generic copay is $10, the brand name drug is $80 and the generic is $50, you will pay $40. $10 copay plus $30 difference in cost.
For questions about your drug benefits, call: (866) 686-0003
Out of Network
Martins/Giant/Stop & Shop
Kroger/Fred Meyer/Fry's/King Soopers
Certain independent local pharmacies
Remember: Don't go out of network, you will pay 100% of the cost!