Individual & Family Plan: Prescription Drug Rider
Dean Health Plans offers 3 prescription drug riders to choose from and purchase along with your plan.
Outpatient Prescription Drugs (RXs)
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Drug Rider Option 1
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Drug Rider Option 2
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HSA Drug Rider Option
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Once a $250 single or $500 family deductible has been met, the following co-pays apply: |
After your policy deductible is met, the following co-pays apply: |
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Tier 1 consists of formulary generic RXs. |
$10 co-pay per RX |
$5 co-pay per RX |
$10 co-pay per RX |
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Tier 2 consists of formulary brand-name RXs. |
30% co-insurance per RX (maximum co-pay of $75 per RX) up to an annual benefit maximum of $1,500 then a $10 co-pay thereafter. |
$25 co-pay per RX |
30% co-insurance per RX (maximum co-pay of $75 per RX) up to an annual benefit maximum of $1,500 then a $10 co-pay thereafter. |
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Tier 3 provides benefits for non-formulary RXs. |
50% co-pay per RX (minimum $50 co-pay per RX or a maximum $150 co-pay per RX). |
$60 co-pay per RX |
50% co-pay per RX (minimum $50 co-pay per RX or a maximum $150 co-pay per RX). |
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Download complete Drug Rider - Option 1
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Download complete Drug Rider - Option 2
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Download complete Drug Rider - HSA Option |
With a qualified High Deductible Health Plan (HDHP), as required by federal law, both your prescription drug costs and your medical costs will accumulate toward your plan deductible. This means you must pay 100% of your medical costs and prescription drug costs (even if you purchased the Prescription Drug Rider) until the plan deductible is met. Once the plan deductible is met, we will pay your prescription drug benefits according to the rider option you've selected.
BadgerRx Gold
If you do not elect to take a Dean Health Plan prescription drug rider, you will be automatically enrolled in BadgerRx Gold. You will receive a separate ID card from BadgerRx Gold which you can use at participating pharmacies.
BadgerRx Gold is not a drug discount card; it is a program that offers lower costs on carefully selected medications. Visit the BadgerRx Gold website to learn more.
