Prescription Drug Benefits for Active Participants


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.

Annual Out-of-Pocket Maximum
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)
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)


  • Review the SPD.
  • Visit the OptumRx website.
  • You will need the number on your ID card.

Learn about your Health Reimbursement Arrangement (HRA)

Get answers to your frequently asked questions