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Creditable Pharmacy Plan Designs

All Medicare-eligible employees and retirees will be eligible for a new prescription drug program. Employers are required by the Centers for Medicare and Medicaid Services (CMS) to notify their employees and retirees by November 14, about whether their existing prescription drug plan is at least as good as Medicare’s standard prescription drug program, also referred to as providing “creditable coverage.”

172 Pharmacy Plan Designs
Pharmacy Plan Designs Creditable Creditable/Non-Creditable Coverage Estimate
Copay Tiers: $0/$15/$30
Deductible:N/A
Coinsurance:N/A
Annual Max:N/A
Copay Tiers: $0/$25/$40
Deductible:N/A
Coinsurance:N/A
Annual Max:N/A
Copay Tiers: $10/$10/$10
Deductible:N/A
Coinsurance:N/A
Annual Max:$1,000
No
Copay Tiers: $10/$10/$10
Deductible:N/A
Coinsurance:N/A
Annual Max:N/A
Copay Tiers: $10/$10/$20
Deductible:N/A
Coinsurance:N/A
Annual Max:$1,000
No
Copay Tiers: $10/$10/$20
Deductible:N/A
Coinsurance:N/A
Annual Max:$1,500
No
Copay Tiers: $10/$10/$20
Deductible:N/A
Coinsurance:N/A
Annual Max:$2,000
No
Copay Tiers: $10/$10/$20
Deductible:N/A
Coinsurance:N/A
Annual Max:N/A
Copay Tiers: $10/$15/$15
Deductible:N/A
Coinsurance:N/A
Annual Max:N/A
Copay Tiers: $10/$15/$25
Deductible:N/A
Coinsurance:N/A
Annual Max:N/A
Copay Tiers: $10/$15/$30
Deductible:N/A
Coinsurance:N/A
Annual Max:N/A
Copay Tiers: $10/$15/$35
Deductible:N/A
Coinsurance:N/A
Annual Max:N/A
Copay Tiers: $10/$20/$20
Deductible:N/A
Coinsurance:N/A
Annual Max:N/A
Copay Tiers: $10/$20/$20
Deductible:$100
Coinsurance:N/A
Annual Max:$3,000
Copay Tiers: $10/$20/$20
Deductible:N/A
Coinsurance:N/A
Annual Max:N/A
Copay Tiers: $10/$20/$30
Deductible:N/A
Coinsurance:N/A
Annual Max:N/A
Copay Tiers: $10/$20/$30
Deductible:$1500 (IND) RX & MED
Coinsurance:$1,000
Annual Max:N/A
No
Copay Tiers: $10/$20/$30
Deductible:$3000 (FAM) RX & Medical
Coinsurance:$2,000
Annual Max:N/A
No
Copay Tiers: $10/$20/$35
Deductible:$100 IND/$200 FAM
Coinsurance:N/A
Annual Max:N/A
Copay Tiers: $10/$20/$35
Deductible:$1500 RX & Medical
Coinsurance:$1,000
Annual Max:N/A
No
Copay Tiers: $10/$20/$35
Deductible:$3000 Rx & Medical
Coinsurance:$2,000
Annual Max:N/A
No
Copay Tiers: $10/$20/$35
Deductible:$50/$100
Coinsurance:N/A
Annual Max:N/A
Copay Tiers: $10/$20/$35
Deductible:N/A
Coinsurance:N/A
Annual Max:$1,000
No
Copay Tiers: $10/$20/$35
Deductible:N/A
Coinsurance:N/A
Annual Max:$2,000
No
Copay Tiers: $10/$20/$35
Deductible:N/A
Coinsurance:N/A
Annual Max:$25,000 Lifetime Max
Copay Tiers: $10/$20/$35
Deductible:N/A
Coinsurance:N/A
Annual Max:$3,000
Copay Tiers: $10/$20/$35
Deductible:N/A
Coinsurance:N/A
Annual Max:N/A
Copay Tiers: $10/$20/$35
Deductible:N/A
Coinsurance:N/A
Annual Max:N/A
Copay Tiers: $10/$20/$35 DM
Deductible:N/A
Coinsurance:N/A
Annual Max:N/A
No
Copay Tiers: $10/$20/$40
Deductible:$50 IND/$100 FAM -tier 1 does not apply
Coinsurance:N/A
Annual Max:N/A
Copay Tiers: $10/$20/$40
Deductible:N/A
Coinsurance:N/A
Annual Max:$200/qtr; No Rollover
No
Copay Tiers: $10/$20/$40
Deductible:N/A
Coinsurance:N/A
Annual Max:N/A
Copay Tiers: $10/$25/$25
Deductible:N/A
Coinsurance:N/A
Annual Max:N/A
Copay Tiers: $10/$25/$40
Deductible:$50/$100
Coinsurance:N/A
Annual Max:N/A
Copay Tiers: $10/$25/$40
Deductible:N/A
Coinsurance:N/A
Annual Max:$2,000
No
Copay Tiers: $10/$25/$40
Deductible:N/A
Coinsurance:N/A
Annual Max:N/A
Copay Tiers: $10/$25/$50
Deductible:$50/$100
Coinsurance:N/A
Annual Max:N/A
Copay Tiers: $10/$30/$30
Deductible:N/A
Coinsurance:N/A
Annual Max:N/A
Copay Tiers: $10/$30/$40
Deductible:N/A
Coinsurance:N/A
Annual Max:N/A
Copay Tiers: $12/$20/$20
Deductible:N/A
Coinsurance:N/A
Annual Max:N/A
Copay Tiers: $12/$25/$40
Deductible:N/A
Coinsurance:N/A
Annual Max:N/A
Copay Tiers: $13/$13/$26
Deductible:N/A
Coinsurance:N/A
Annual Max:N/A
Copay Tiers: $15/$15/$30
Deductible:N/A
Coinsurance:N/A
Annual Max:N/A
Copay Tiers: $15/$20/$35
Deductible:N/A
Coinsurance:N/A
Annual Max:N/A
Copay Tiers: $15/$20/$40
Deductible:N/A
Coinsurance:N/A
Annual Max:N/A
Copay Tiers: $15/$25/$35
Deductible:N/A
Coinsurance:N/A
Annual Max:N/A
Copay Tiers: $15/$25/$35
Deductible:N/A
Coinsurance:N/A
Annual Max:N/A
Copay Tiers: $15/$25/$40
Deductible:N/A
Coinsurance:N/A
Annual Max:$1,000
No
Copay Tiers: $15/$25/$40
Deductible:N/A
Coinsurance:N/A
Annual Max:$2,000
No
Copay Tiers: $15/$25/$40
Deductible:N/A
Coinsurance:N/A
Annual Max:$3,000
Copay Tiers: $15/$25/$40
Deductible:N/A
Coinsurance:N/A
Annual Max:N/A
Copay Tiers: $15/$25/$40
Deductible:N/A
Coinsurance:$1,500
Annual Max:$3,000
No
Copay Tiers: $15/$25/$40
Deductible:$1,100 (Ind) RX& Med
Coinsurance:$1,000
Annual Max:N/A
No
Copay Tiers: $15/$25/$40
Deductible:$10,000 (FAM) RX & Medical
Coinsurance:$2,000
Annual Max:N/A
No
Copay Tiers: $15/$25/$40
Deductible:$10,000 (FAM) RX & Medical
Coinsurance:$3,000
Annual Max:N/A
No
Copay Tiers: $15/$25/$40
Deductible:$100/$200
Coinsurance:N/A
Annual Max:N/A
Copay Tiers: $15/$25/$40
Deductible:$1500 (IND) RX & MED
Coinsurance:$1,000
Annual Max:N/A
No
Copay Tiers: $15/$25/$40
Deductible:$1500 (IND) RX & MED
Coinsurance:$1,500
Annual Max:$3,000
No
Copay Tiers: $15/$25/$40
Deductible:$1500 (IND) RX & MED
Coinsurance:$1,500
Annual Max:N/A
No
Copay Tiers: $15/$25/$40
Deductible:$1500 (IND) RX & MED
Coinsurance:$750
Annual Max:N/A
No
Copay Tiers: $15/$25/$40
Deductible:$2,200 (family)RX & Med
Coinsurance:$2,000
Annual Max:N/A
No
Copay Tiers: $15/$25/$40
Deductible:$200 ind / $400 fam
Coinsurance:N/A
Annual Max:N/A
Copay Tiers: $15/$25/$40
Deductible:$2000 (IND) RX & Medical
Coinsurance:$1,000
Annual Max:N/A
No
Copay Tiers: $15/$25/$40
Deductible:$2000 (IND) RX & Medical
Coinsurance:$1,500
Annual Max:N/A
No
Copay Tiers: $15/$25/$40
Deductible:$2000 (IND) RX & Medical
Coinsurance:$750
Annual Max:N/A
No
Copay Tiers: $15/$25/$40
Deductible:$2500 (IND) RX & Medical
Coinsurance:$750
Annual Max:N/A
No
Copay Tiers: $15/$25/$40
Deductible:$2500 Rx & Medical
Coinsurance:$1,000
Annual Max:N/A
No
Copay Tiers: $15/$25/$40
Deductible:$2500 Rx & Medical
Coinsurance:$1,500
Annual Max:N/A
No
Copay Tiers: $15/$25/$40
Deductible:$3,000 (IND) RX & Medical
Coinsurance:$1,500
Annual Max:N/A
No
Copay Tiers: $15/$25/$40
Deductible:$3000 (FAM) RX & Medical
Coinsurance:$1,500
Annual Max:N/A
No
Copay Tiers: $15/$25/$40
Deductible:$3000 (FAM) RX & Medical
Coinsurance:$2,000
Annual Max:N/A
No
Copay Tiers: $15/$25/$40
Deductible:$3000 (FAM) RX & Medical
Coinsurance:$3,000
Annual Max:N/A
No
Copay Tiers: $15/$25/$40
Deductible:$3000 Rx & Medical
Coinsurance:$1,500
Annual Max:$3,000
No
Copay Tiers: $15/$25/$40
Deductible:$3000 Rx & Medical
Coinsurance:$2,000
Annual Max:N/A
No
Copay Tiers: $15/$25/$40
Deductible:$3000 Rx & Medical
Coinsurance:$3,000
Annual Max:$3,000
No
Copay Tiers: $15/$25/$40
Deductible:$3000 Rx & Medical
Coinsurance:$3,000
Annual Max:N/A
No
Copay Tiers: $15/$25/$40
Deductible:$3500 Rx & Medical
Coinsurance:$1,000
Annual Max:N/A
No
Copay Tiers: $15/$25/$40
Deductible:$4000 (FAM) RX & Medical
Coinsurance:$1,500
Annual Max:N/A
No
Copay Tiers: $15/$25/$40
Deductible:$4000 (FAM) RX & Medical
Coinsurance:$2,000
Annual Max:N/A
No
Copay Tiers: $15/$25/$40
Deductible:$4000 (FAM) RX & Medical
Coinsurance:$3,000
Annual Max:N/A
No
Copay Tiers: $15/$25/$40
Deductible:$5,000 (IND) RX & Medical
Coinsurance:$1,000
Annual Max:N/A
No
Copay Tiers: $15/$25/$40
Deductible:$5,000 (IND) RX & Medical
Coinsurance:$1,500
Annual Max:N/A
No
Copay Tiers: $15/$25/$40
Deductible:$50 IND/ $100 FAM
Coinsurance:N/A
Annual Max:N/A
Copay Tiers: $15/$25/$40
Deductible:$5000 (FAM) RX $ Medical
Coinsurance:$1,500
Annual Max:N/A
No
Copay Tiers: $15/$25/$40
Deductible:$5000 Rx & Medical
Coinsurance:$2,000
Annual Max:N/A
No
Copay Tiers: $15/$25/$40
Deductible:$5000 Rx & Medical
Coinsurance:$3,000
Annual Max:N/A
No
Copay Tiers: $15/$25/$40
Deductible:$6,000 (FAM) RX & Medical
Coinsurance:$3,000
Annual Max:N/A
No
Copay Tiers: $15/$25/$40
Deductible:$6,000 RX & Medical
Coinsurance:$3,000
Annual Max:$3,000
No
Copay Tiers: $15/$25/$40
Deductible:$7000 Rx & Medical
Coinsurance:$2,000
Annual Max:N/A
No
Copay Tiers: $15/$25/$40
Deductible:N/A
Coinsurance:N/A
Annual Max:N/A
Copay Tiers: $15/$30/$40
Deductible:$100 IND/$200 FAM
Coinsurance:N/A
Annual Max:N/A
Copay Tiers: $15/$30/$40
Deductible:$100 IND/$300 FAM-Tier 1 does not apply
Coinsurance:N/A
Annual Max:N/A
Copay Tiers: $15/$30/$40
Deductible:$100/$200
Coinsurance:N/A
Annual Max:N/A
Copay Tiers: $15/$30/$40
Deductible:$200 ind / $400 fam
Coinsurance:N/A
Annual Max:N/A
Copay Tiers: $15/$30/$40
Deductible:$50 IND/ $100 FAM
Coinsurance:N/A
Annual Max:N/A
Copay Tiers: $15/$30/$40
Deductible:$50 IND/$100 FAM -tier 1 does not apply
Coinsurance:N/A
Annual Max:N/A
Copay Tiers: $15/$30/$40
Deductible:N/A
Coinsurance:N/A
Annual Max:$2,000
No
Copay Tiers: $15/$30/$40
Deductible:N/A
Coinsurance:N/A
Annual Max:$800
No