Prescription Benefits
About Your Benefits
If you're eligible for Medicare, you will be enrolled in SilverScript—a division of the CVS Health drug program—automatically. SilverScript will issue you a personal ID card. Learn more about your SilverScript prescription benefits. If you have questions or concerns about your enrollment, please contact SilverScript directly at 1-855-702-1187.
If you are not Medicare-eligible, you will receive an ID card from CVS Caremark and your coverage will continue under the “commercial” CVS Prescription Drug plan.
|
Prescription |
Retail |
Mail 90‐Day Supply |
|
|---|---|---|---|
|
Annual Prescription Deductible |
$150 per person |
None |
|
|
Annual Out-Of-Pocket Maximum |
None |
None |
|
|
Copays |
Generic Drug |
Preferred Brand Drug* |
Non-Preferred Brand Drug |
|
30-Day Supply (any pharmacy) |
$15 |
$40 |
$60 |
|
60-Day Supply (any pharmacy) |
$30 |
$80 |
$120 |
|
90-Day Supply (network pharmacy**) |
$20 |
$50 |
$75 |
|
90-Day Supply (out-of-network pharmacy) |
$45 |
$120 |
$180 |
*CVS Health negotiated pricing for clinically equivalent brand name drug
**Visit caremark.com for a list of network pharmacies
Although Con Edison currently sponsors the Retiree Health Program, the information above does not alter the company’s right to change or terminate the program at any time due to changes in laws governing employee benefit plans, the requirements of the Internal Revenue Code, Employee Retirement Income Security Act, or for any other reason. The company is not obligated to contribute any fixed amount or percentage of program costs.
Notice of Privacy Practices
The Health Insurance Portability and Accountability Act of 1996 (HIPAA) is a federal law that requires Con Edison and the health plans sponsored by the company to protect your personal health information (PHI). As a participant under one of the health plans offered by Con Edison, we are required to notify you of the privacy practices that will be followed by the company and the plans and your rights concerning your personal health information.
Under the law and privacy practices, we have the responsibility to protect the privacy of your personal health information by:
1. limiting who may see it
2. limiting how we may use or disclose it
3. explaining our legal duties and privacy practices
4. adhering to these privacy practices
5. informing you of your legal rights