What is a copayment? How do I know what to pay for my prescription drugs?
A copayment is the predetermined fee you pay for covered health care benefits, in this case, prescription drugs. Copayment amounts are set by the health plan offered by your employer. To see your copayment plan, look on the front of your CHA Health ID card beside the word “rider.” There should be three sets of numbers divided by a slash; for example, $10/15/30. The first number represents the generic medications copay and the second number represents your copay for the preferred brand medications. The last number is the copay for non-preferred medications. To determine your copayment level for specific named medications, simply look for the type of your prescription medication on the Abbreviated Prescription Drug List. For example, “Allergy Antihistamine.” Then look for your medication in either the Generic (First Tier), Preferred Brand (Second Tier), or Non-Preferred Brand (Third Tier) category. You pay the copayment for the category in which your medication is listed. If a generic
