Health Plans For Missouri Federal Employees
Blue Preferred POS High Option
Blue Preferred® provides more of what you want – more choices, more convenience, and more control. That’s a lot of more, with Anthem as your dedicated, dependable partner to join you on your healthcare journey.
With Blue Preferred Plus Point-of-Service (POS):
You can visit network or non-network providers.
You know before you go: non-network providers will cost a little more out-of-pocket.
With network providers, there’s no deductible, and you’ll have lower out-of-pocket costs.
Pharmacy Benefits For Blue Preferred High Option
Prescription Drug Copays For 2022
This table shows your monthly and yearly costs for prescription drugs in 2022. If you have any questions about your coverage, call the Member Services number on the back of your identification card.
Level 1 Retail Pharmacies
|
Item |
30-Day Supply (Retail) | Yearly Cost 30-Day Supply (Retail) | 90-day Supply (Mail Order) | Yearly Cost 90-Day Supply (Mail Order) |
|---|---|---|---|---|
Tier 1 |
$5 copay |
$60 |
$10 copay |
$40 |
Tier 2 |
$60 copay |
$720 |
$150 copay |
$600 |
Tier 3 |
$80 copay |
$960 |
$200 copay |
$800 |
Tier 4 |
25% of our allowance ($200 maximum per prescription) |
- |
90-day supply is not available |
90-day supply is not available |
Level 2 Retail Pharmacies
|
Item |
30-Day Supply (Retail) | Yearly Cost 30-Day Supply (Retail) | 90-day Supply (Mail Order) | Yearly Cost 90-Day Supply (Mail Order) |
|---|---|---|---|---|
Tier 1 |
$15 copay |
$180 |
N/A |
N/A |
Tier 2 |
$70 copay |
$840 |
N/A |
N/A |
Tier 3 |
$90 copay |
$1,080 |
N/A |
N/A |
Tier 4 |
25% of our allowance ($250 maximum per prescription) |
- |
90-day supply is not available |
90-day supply is not available |
* Please note that pricing information is based on filling prescriptions at a Level 1 pharmacy. Add $10 to your copay if you’re having your prescriptions filled at a Level 2 pharmacy.
Blue Preferred HMO Standard Option
Blue Preferred® provides more of what you want – more choices, more convenience, and more control. That’s a lot of more, with Anthem as your dedicated, dependable partner on your healthcare journey.
With Blue Preferred Plus Point-of-Service (POS):
You have to stay in network.
No referrals required for network providers.
No annual deductible.
Pharmacy Benefits For Blue Preferred Standard Option
Prescription Drug Copays For 2022
This table shows your monthly and yearly costs for prescription drugs in 2022. If you have any questions about your coverage, call the Member Services number on the back of your identification card.
Level 1 Retail Pharmacies
| 30-Day Supply (Retail) | Yearly Cost 30-Day Supply (Retail) | 90-day Supply (Mail Order) | Yearly Cost 90-Day Supply (Mail Order) | |
|---|---|---|---|---|
Tier 1 |
$10 copay |
$120 |
$20 copay |
$80 |
Tier 2 |
$70 copay |
$840 |
$175 copay |
$700 |
Tier 3 |
$90 copay |
$1080 |
$225 copay |
$900 |
Tier 4 |
25% of our allowance ($200 maximum per prescription) |
- |
90-day supply is not available |
90-day supply is not available |
Level 2 Retail Pharmacies
| 30-Day Supply (Retail) | Yearly Cost 30-Day Supply (Retail) | 90-day Supply (Mail Order) | Yearly Cost 90-Day Supply (Mail Order) | |
|---|---|---|---|---|
Tier 1 |
$20 copay |
$240 |
N/A |
N/A |
Tier 2 |
$70 copay |
$840 |
N/A |
N/A |
Tier 3 |
$100 copay |
$1,200 |
N/A |
N/A |
Tier 4 |
25% of our allowance ($250 maximum per prescription) |
- |
90-day supply is not available |
90-day supply is not available |
* Please note that pricing information is based on filling prescriptions at a Level 1 pharmacy. Add $10 to your copay if you’re having your prescriptions filled at a Level 2 pharmacy.