I’m a Medicare retiree with PEIA coverage, what will happen to me when we go to the Coventry Advantra Freedom Plan?
The Coventry Advantra Freedom MAPD plan is nearly identicle to the PEIA PPB Plan. It includes the following: A. Comprehensive medical plan with no deductible and an out-of-pocket maximum of $500 per person per year that includes both copayments and coinsurance. That means that a Medicare retiree would pay no more than $500 in a plan year for medical care. After the retiree meets the $500 out-of-pocket maximum, then the plan will pay 100% of that retiree’s medical costs for the rest of the plan year. B. A prescription drug plan that’s the same as the one offered to the active employees. The deductible on prescriptions will be $75 per individual, and when that’s met, the member will pay $5 for generic drugs, $15 for preferred brand name drugs, and $50 for non-preferred brand name drugs. There will be an out-of-pocket maximum on prescription drug copayments of $1750 per member. After the retiree meets the $1750 out-of-pocket maximum on drugs, then the plan will pay 100% of that retiree’s
