HumanResourcesOffice of
Out‐of‐Pocket Cost Comparisons
Pharmacy
HumanResourcesOffice of
Out‐of‐Pocket Cost Comparisons
Plan Provision HealthPartners, Medica, UCare Plan 1 HealthPartners, Medica, UCare Plan 2 Outpatient Surgery 100% $75 copay Inpatient Hospital 100% $200 copay Physician Office Visit $15 copay HP & Medica – $20 primary copay / $30 specialist copay UCare – $20 copayPharmacy
Out‐of‐Pocket Cost Comparisons
Plan Provision HealthPartners, Medica, UCare Plan 1 HealthPartners, Medica, UCare Plan 2Non Formulary $30 copay $70 – HP and Medica copays $60 – UCare copay Specialty Medication $30 copay 75% coverage
Medicare Coverage
Gap (Donut Hole) Normal copay structure
HumanResourcesOffice of