Silver Pharmacy Coverage

Prescriptions can be even cheaper at the Silver level.

Pharmacy Copays

For Silver 70, 73 and 87, once you’ve spent a certain amount for the year at the pharmacy, you’ll pay a discounted flat rate for prescriptions. With Silver 94 plans, you never have to meet a deductible first — you’ll always pay the “after deductible” cost.

Deductible Amounts

$0 to $300 Individual
$0 to $600 Family
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Tier 1: Generic Prescriptions
Full Cost Before Deductible
(Silver 70, 73 only)
$3 to $16 After Deductible
(if applicable)
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Tier 2: Preferred Prescriptions
Full Cost Before Deductible
(Silver 70, 73, 87 only)
$10 to $60 After Deductible
(if applicable)
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Tier 3: Non-Preferred Prescriptions
Full Cost Before Deductible
(Silver 70, 73, 87 only)
$15 to $90 After Deductible
(if applicable)
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Tier 4: Specialty Prescriptions
Full Cost Before Deductible
(Silver 70, 73, 87 only)
10% to 20% of Bill After Deductible
(if applicable)
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Prescriptions fall into four pricing levels, known as tiers, that determine what your copay will be.

Interested in a Silver plan?

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

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You can get help from a certified enroller 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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