Prescription Drugs

 

Your Rx Drug Benefit for 2021
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 AmountWith Extra Help from Medicare, depending upon your income and institutional status, you pay:
Deductible:$0
Generic:$0 or $1.30 or $3.70*
For all other drugs:$0 or $4.00 or $9.20*
 
* All cost sharing is based on your level of Medicaid eligibility. Contact Medicaid for details.
 
 
Your Rx Drug Benefit for 2020
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 AmountWith Extra Help from Medicare, depending upon your income and institutional status, you pay:
Deductible:$0
Generic:$0 or $1.30 or $3.60*
For all other drugs:$0 or $3.90 or $8.95*
 
* All cost sharing is based on your level of Medicaid eligibility. Contact Medicaid for details.

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