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<blockquote data-quote="The Other Side" data-source="post: 1138424" data-attributes="member: 17969"><p>For those with kids or spouses who need insulin, check out these charges...</p><p></p><p><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px">20.08 </span></span></span></span><strong><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px">TEAMCARE RX INJECTABLE DRUG OUT-OF-POCKET EXPENSE LIMIT</span></span></span></span></strong></p><p><strong><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px"></span></span></span></span></strong></p><p><strong><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px"></span></span></span></span></strong><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px">Section 12.07 provides for a Prescription Drug Benefit and Section 20.01(friend) provides for the</span></span></span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px"></span></span></span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px">corresponding Schedule of Benefits, including a “maximum co-payment … [of] $200 for each filled</span></span></span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px"></span></span></span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px">prescription purchased through the TeamCare RX program.” The Prescription Drug Benefit applies to any</span></span></span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px"></span></span></span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px">injectable drug (“Injectable Drug”) that is a Prescription Drug as defined in Section 1.54. The Fund provides</span></span></span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px"></span></span></span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px">a separate TeamCare RX Injectable Drug Out-of-Pocket Expense Limit (as indicated below) per Covered</span></span></span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px"></span></span></span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px">Individual per calendar year, provided that this separate limit applies only to Covered Individuals who in</span></span></span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px"></span></span></span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px">that year purchase Injectable Drugs through the TeamCare RX program. Each such Covered Individual’s</span></span></span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px"></span></span></span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px">share of the cost of all covered Prescription Drugs purchased through the TeamCare RX program</span></span></span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px"></span></span></span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px">(including Injectable Drugs) is applied toward this separate annual limit. After this annual limit has been</span></span></span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px"></span></span></span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px">reached, the Fund is obligated to pay the full cost of all Injectable Drugs purchased by the Covered</span></span></span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px"></span></span></span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px">Individual through the TeamCare RX program during the remainder of that calendar year.</span></span></span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px"></span></span></span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px"></span></span></span></span><strong><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px">PLAN SCHEDULE OF BENEFITS</span></span></span></span></strong></p><p><strong><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px"></span></span></span></span></strong></p><p><strong><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px"></span></span></span></span></strong><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px">(a) 2L, 3J, 4C, 4L, 6P,</span></span></span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px"></span></span></span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px">A, B, BD, C4, C6,</span></span></span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px"></span></span></span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px">KA, KR, M4, M6,</span></span></span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px"></span></span></span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px">M9, ME, MG, MH,</span></span></span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px"></span></span></span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px">MK, ML, MP, MR,</span></span></span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px"></span></span></span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px">MU, MV, MW, MY,</span></span></span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px"></span></span></span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px">N9, NJ, NP, NU,</span></span></span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px"></span></span></span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px">NW, NY, PD, PE,</span></span></span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px"></span></span></span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px">S, T1, TB, TJ, TN,</span></span></span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px"></span></span></span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px">TR TeamCare RX Injectable Drug Out-of-Pocket Expense Limit of $1,000 per Covered Individual per calendar year.</span></span></span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px"></span></span></span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px">This means that the covered employee must pay the $200 deductible PLUS the first $1000.00 or $1200.00. Currently, they pay $5.00 a prescription.</span></span></span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px"></span></span></span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px">How is this good for us in the west?</span></span></span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px"></span></span></span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px"></span></span></span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px"></span></span></span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px"></span></span></span></span></p><p><span style="font-family: 'Arial'"><span style="font-size: 12px"><span style="font-family: 'Arial'"><span style="font-size: 12px"></span></span></span></span></p></blockquote><p></p>
[QUOTE="The Other Side, post: 1138424, member: 17969"] For those with kids or spouses who need insulin, check out these charges... [FONT=Arial][SIZE=3][FONT=Arial][SIZE=3]20.08 [/SIZE][/FONT][/SIZE][/FONT][B][FONT=Arial][SIZE=3][FONT=Arial][SIZE=3]TEAMCARE RX INJECTABLE DRUG OUT-OF-POCKET EXPENSE LIMIT[/SIZE][/FONT][/SIZE][/FONT][/B] [B][FONT=Arial][SIZE=3][FONT=Arial][SIZE=3] [/SIZE][/FONT][/SIZE][/FONT][/B][FONT=Arial][SIZE=3][FONT=Arial][SIZE=3]Section 12.07 provides for a Prescription Drug Benefit and Section 20.01(friend) provides for the corresponding Schedule of Benefits, including a “maximum co-payment … [of] $200 for each filled prescription purchased through the TeamCare RX program.” The Prescription Drug Benefit applies to any injectable drug (“Injectable Drug”) that is a Prescription Drug as defined in Section 1.54. The Fund provides a separate TeamCare RX Injectable Drug Out-of-Pocket Expense Limit (as indicated below) per Covered Individual per calendar year, provided that this separate limit applies only to Covered Individuals who in that year purchase Injectable Drugs through the TeamCare RX program. Each such Covered Individual’s share of the cost of all covered Prescription Drugs purchased through the TeamCare RX program (including Injectable Drugs) is applied toward this separate annual limit. After this annual limit has been reached, the Fund is obligated to pay the full cost of all Injectable Drugs purchased by the Covered Individual through the TeamCare RX program during the remainder of that calendar year. [/SIZE][/FONT][/SIZE][/FONT][B][FONT=Arial][SIZE=3][FONT=Arial][SIZE=3]PLAN SCHEDULE OF BENEFITS [/SIZE][/FONT][/SIZE][/FONT][/B][FONT=Arial][SIZE=3][FONT=Arial][SIZE=3](a) 2L, 3J, 4C, 4L, 6P, A, B, BD, C4, C6, KA, KR, M4, M6, M9, ME, MG, MH, MK, ML, MP, MR, MU, MV, MW, MY, N9, NJ, NP, NU, NW, NY, PD, PE, S, T1, TB, TJ, TN, TR TeamCare RX Injectable Drug Out-of-Pocket Expense Limit of $1,000 per Covered Individual per calendar year. This means that the covered employee must pay the $200 deductible PLUS the first $1000.00 or $1200.00. Currently, they pay $5.00 a prescription. How is this good for us in the west? [/SIZE][/FONT][/SIZE][/FONT] [/QUOTE]
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