Compare our plans when it comes to prescription coverage and cost.
For the UnitedHealthcare® Gold PPO Plan (NexusACO):
| Retail Prescription Drugs | 30 Day Supply for Retail / 90 Day Supply for Mail Order (2.5 x Copay for Mail Order) |
| Separate Rx Deductible | A $50 Individual / $100 Family Deductible Applies to Tier 3 and 4 Drugs |
| Tier 1 Drugs | $10 Copayment per Refill |
| Tier 2 Drugs | $40 Copayment per Refill |
| Tier 3 Drugs | 50% Coinsurance after Rx Deductible |
| Tier 4 Drugs | 50% Coinsurance after Rx Deductible |
For the UnitedHealthcare® Silver POS Plan (NexusACO):
| Retail Prescription Drugs | 30 Day Supply for Retail / 90 Day Supply for Mail Order (2.5 x Copay for Mail Order) |
| Separate Rx Deductible | A $500 Individual / $1000 Family Deductible Applies to Tier 3 and 4 Drugs |
| Tier 1 Drugs | $20 Copayment per Refill |
| Tier 2 Drugs | $80 Copayment per Refill |
| Tier 3 Drugs | 50% Coinsurance after Rx Deductible |
| Tier 4 Drugs | 50% Coinsurance after Rx Deductible |
For more information, please contact support@ondiem.com.