Platinum Pharmacy Coverage

Platinum plans have the lowest prescription costs of any metal tier.

Pharmacy Copays for 2026

Low, flat prices for generic, preferred and non-preferred prescriptions. There are no deductibles for prescriptions — that means you’ll always pay the same flat rates without having to spend a certain amount first.

Deductible Amounts for 2026

$0 Individual
$0 Family
Tier 1: Generic Prescriptions
$9 or less
Tier 2: Preferred Prescriptions
$16 or less
Tier 3: Non-Preferred Prescriptions
$25 or less
Tier 4: Specialty Prescriptions
10% of bill $250 cap per prescription
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Prescriptions fall into four pricing levels, known as tiers, that determine what your copay will be.

Which tier is my medication in?

Select a health insurance company to search its list of covered medications. 

anthem blue cross
cchp health plan
blue shield of california
health net
inland empire health plan
kaiser permanente
la care health plan
molina healthcare
sharp health plan
valley health plan
western health advantage
error_outline What if my prescription isn’t covered by a health plan? arrow_forward

Interested in a Platinum plan?

If this sounds like a good fit, check out our Platinum plans or apply now.

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Things to Know

Is Platinum right for me?
Use services starting on the first day your coverage begins.
Scheduling a Wellness Checkup
Get matched with a primary care doctor.
Changing Health Insurance While Getting Treatment
Get prescriptions filled
What to Do If Your Income Changes
Making Sure Your Preventive Care Is Free
Copays, Deductibles and Coinsurance

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Need help applying?

You can get help from a certified enrollment counselor right away. It’s always free and confidential. Talk to someone about your options and have them guide you through the process. You can enroll in person, by phone or online.

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