Prescription Drugs

 

Your Rx Drug Benefit for 2017
As a member of AlohaCare Advantage Plus (HMO SNP), you are automatically qualified for "Extra Help" to pay for your prescription drug costs. This is also called "Low Income Subsidy" or LIS.

 

Full Amount
With Extra Help from Medicare, depending upon your income and institutional status, you pay:
Deductible:
$0
Generic:
$0 or $1.20 or $3.30*
For all other drugs:
$0 or $3.60 or $8.25*


* All cost sharing is based on your level of Medicaid eligibility. Contact Medicaid for details.

H5969_400620_18  Pending