HealthPlus MedicarePlus AdvantageHMO-POS Option 1 (HMO-POS) Drug Coverage

HealthPlus of Michigan | HMO
Plan website: www.healthplus.org
Plan Phone Number: (800) 332-9161
U.S. News Preferred Broker Phone: (888) 245-3931

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Drug Coverage

For drugs on formulary at in in-network pharmacy.

Drug Tier Name In Network 30 days In Network 90 days Mail Order 90 days
Tier 1: Generic $7 $17.50 $17.50
Tier 2: Preferred Brand $40 $100 $100
Tier 3: Non-Preferred Brand $95 $237.50 $237.50
Tier 4: Specialty Tier 33% coinsurance 33% coinsurance 33% coinsurance

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