Prescription Drug Benefits for Active Participants
Highlights
Prescription drugs are often an important part of getting and staying healthy. Here are some important facts about your prescription drug benefits provided by the Operating Engineers Local 49 Health and Welfare Fund.
Need help finding a participating provider or pharmacy? Refer to this listing or reach out to TEAM at 800-634-7710 or 651-642-0182 or visit startwithteam.com.
Annual Out-of-Pocket Maximum
This is the most you could pay out of pocket each year for prescription drugs.
This is the most you could pay out of pocket each year for prescription drugs.
$2,500 per person (an additional $1,800 per person if specialty drugs prescribed)
$5,900 per family (an additional $1,800 per family if specialty drugs prescribed)
$5,900 per family (an additional $1,800 per family if specialty drugs prescribed)
Most Prescriptions
80% paid by Plan
Birth Control Pills
Plan pays 100% for all FDA-approved contraceptive methods and counseling (includes barrier and hormonal methods and implanted devices)
Erectile Dysfunction Medication
50% paid by Plan
(up to 6 pills per month)
(up to 6 pills per month)
GLP-1 Medication
80% paid by Plan if taking to treat diabetes
50% paid by Plan if taking for weight management, coinsurance does not count toward out-of-pocket maximum and must work with a TEAM wellness and nutrition professional
50% paid by Plan if taking for weight management, coinsurance does not count toward out-of-pocket maximum and must work with a TEAM wellness and nutrition professional
Details
- Review the SPD.
- Visit the CVS Caremark website.
- You will need the number on your ID card.