For more information on your prescription drug benefits, the drug cost category for your prescription (generic, preferred, non-preferred or specialty), and mail-order programs, please visit the Prime Therapeutics website or the Kaiser website.
(1) Any additional costs that you pay under the following plan provisions a) will not apply to your annual deductible or annual out-of-pocket maximum; b) will not be subject to the maximum copayment per prescription (PPO Plan)
(2) The BCBSTX HSA Plan covers certain preventive prescription drugs—like insulin and blood pressure medicine—at 85% before the plan deductible. You pay 15% coinsurance for these medicines—even if you haven’t satisfied the annual plan deductible. However, the coinsurance you pay for preventive prescription drugs does not count toward meeting the BCBSTX HSA annual deductible.