Drug Benefits
Optional: You may choose ONE of these modules
| Essential | Enhanced |
|---|---|
| Coverage | |
| 70% | 80% |
| Coverage (after eligible claims reach $4,500 in a year) | |
| 100% | 100% |
| Overall benefit maximum per year | |
| None | None |
| Maximum co-pay per prescription | |
| $100 | $50 |
| Maximum out of pocket co-pay per year | |
| $1,350 | $900 |
| Birth Control | |
| ✓ | ✓ |
| Smoking Cessation | |
| $800 / 5 calendar years | $800 / 5 calendar years |
| Fertility Drugs | |
| — | $1,500 / year up to $3,000 / lifetime |
| Vaccines | |
| — | $250 / year |
| Allergy Serums | |
| — | $500 / year |
| Erectile Dysfunction | |
| — | $250 / year |