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Prescription Drug and Other Co-Payments
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The prescription drug co-payment is the portion of the total prescription
expense paid by the patient while the health plan pays the difference.
2006 and 2007
Co-Payments ( PDF)
| 2007 & 2006 |
|
| Retail |
Premier and Select PPO Plans |
Aetna - 2006 only |
HMO
Illinois |
Humana - 2006 only |
UniCare HMO |
| |
|
|
2007 |
2006 |
|
2007 |
2006 |
| Generic |
$5 |
$5 |
$5 |
$10 |
$5 |
$10 |
| Brand |
$25 |
$25 |
$25 |
$20 |
$25 |
$25 |
| Other Brand |
$45 |
$45 |
$45 |
$40 |
$50 |
$45 |
$50 |
| Days Supply |
30 days |
30 days |
30 days |
30 days |
30 days |
| Mail |
Plan
A |
Aetna |
HMO
IL |
Humana |
UniCare |
| Generic |
$10 |
$10 |
$10 |
$30 |
$20 |
| Brand |
$45 |
$50 |
$40 |
$60 |
$50 |
| Other Brand |
$65 |
$90 |
$60 |
$105 |
$100 |
| Days Supply |
90 days |
90 days |
90 days |
90 days |
90 days |
| Other
Co-Pays |
Plan
A |
Aetna |
HMO
IL |
Humana |
Unicare |
Physician
Office Visit |
$25 |
$30 |
$25 |
$30 |
$25 |
| Emergency Room |
$100 |
$100 |
$100 |
$100 |
$100 |
| 2005 |
|
| Retail |
Plan
A |
Aetna |
HMO
IL |
Humana |
Unicare |
| Generic |
$10 |
$10 |
$10 |
$10 |
$10 |
| Brand |
$25 |
$25 |
$25 |
$25 |
$25 |
| Other Brand |
$35 |
$35 |
$35 |
$35 |
$40 |
| Days Supply |
30 days |
30 days |
30 days |
30 days |
30 days |
| Mail |
Plan
A |
Aetna |
HMO
IL |
Humana |
Unicare |
| Generic |
$20 |
$20 |
$20 |
$30 |
$20 |
| Brand |
$35 |
$35 |
$35 |
$75 |
$50 |
| Other Brand |
$55 |
$55 |
$55 |
$105 |
$80 |
| Days Supply |
90 days |
90 days |
90 days |
90 days |
90 days |
| Other
Co-Pays |
Plan
A |
Aetna |
HMO
IL |
Humana |
Unicare |
Physician
Office Visit |
$20 |
$20 |
$20 |
$20 |
$20 |
| Emergency Room |
$75 |
$75 |
$75 |
$75 |
$75 |
| 2004 |
|
| Retail |
Plan
A |
Aetna
HMO |
HMO
Illinois |
Humana |
Unicare |
| Generic |
$10 |
$10 |
$10 |
$10 |
$10 |
| Brand |
$25 |
$25 |
$20 |
$20 |
$25 |
| Other Brand |
$35 |
$35 |
$35 |
$35 |
$40 |
| Days Supply |
31 days |
31 days |
31 days |
30 days |
30 days |
| |
|
|
|
|
|
| Mail Order |
|
|
|
|
|
Generic |
$15 |
$15 |
$15 |
$30 |
$20 |
Brand |
$30 |
$30 |
$30 |
$75 |
$50 |
Other Brand |
$50 |
$50 |
$50 |
$105 |
$80 |
Days Supply |
90 days |
90 days |
90 days |
90 days |
90 days |
| Other
Co-Pays |
Plan
A |
Aetna |
HMO
IL |
Humana |
Unicare |
Physician
Office Visit |
$15 |
$15 |
$15 |
$15 |
$15 |
| Emergency Room |
$50 |
$50 |
$50 |
$50 |
$50 |
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