OPTIONAL RX PROGRAM

Can be added to Basic or Executive membership packages, for additional fees shown (not available if Primary member is under 18 years of age)

INSURED PRESCRIPTION DRUG PLAN*:

GENERIC DRUGS:

• $15 maximum copay
  
• $250/month ($3,000/year) maximum benefit per person
• $500/month ($6,000/year) maximum benefit per family
  
• $50 annual deductible ($100 family)

BRAND-NAME DRUGS:

• Discount pricing and mail order available.
  
  • $26.50/Month—Individual
  • $44.50/Month—Family

*Exclusions and limitations apply. See plan summary for details. Group policies issued to ABBA.