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Annual Enrollment for 2023 Benefits is October 26 – November 15, 2022

2022 BENEFITS
2022 BENEFITS

Prescription Drug Benefits

Once you satisfy the HSA Medical Plan annual deductible, the plan generally pays 80% and you pay 20% of the cost for medication. How much of your prescription cost the Plan covers will also depend upon the type of prescription drug you receive (generic, preferred, or non-preferred) and whether you use a participating retail pharmacy or the mail-order service.

Prescription Drug Benefits at a Glance

Here’s one big difference between the medical plans: With the HSA Medical Plan, prescription drug benefits are subject to your medical plan deductible (other than certain preventive medications). With the PPO Medical Plan, prescription drug benefits are NOT subject to the medical plan deductible.

  In-Network Retail Pharmacy
(30-day supply)
Mail Order
(90-day supply)
Generic Drug Plan pays: 80%
You pay: 20% ($10 min/$25 max)
Plan pays: 80%
You pay: 20% ($20 min/$50 max)
Formulary Brand Name Drug Plan pays: 70%
You pay: 30% ($35 min/$75 max)
Plan pays: 70%
You pay: 30% ($70 min/$150 max)
Non-Formulary Brand Name and Specialty Drugs Plan pays: 60%
You pay: 40% ($55 min/$120 max)
Plan pays: 60%
You pay: 40% ($110 min/$240 max)

Save with generics

You can save money on prescriptions by using generic prescription medicines instead of name brands, in-network pharmacies and medicines on the Advanced Control Formulary (ACF).

Generic preventive medications listed on the CVS Preventive Drug List are covered at 100% (no deductible). Go to www.caremark.com to price your medication and confirm that it’s on the CVS Preventive Drug List.

Maintenance Medications

If you take a maintenance medication‚ a prescription you take regularly for a chronic condition‚ you can get two 30-day fills at a retail pharmacy (including Walgreens) before you must switch to a 90-day supply through CVS Pharmacy retail or mail-order service. Otherwise, you’ll pay the full cost of the fill.

It’s easy to switch: simply ask your doctor to update your prescription to a 90-day supply, then get it filled at your local CVS Pharmacy location or through their convenient mail-order service. Plus, fewer trips to the pharmacy means you save time and hassle, too. If you need additional help, contact CVS Customer Service.

Contacts

Medical

Clean Air & Powertrain
BCBSAL

Motorparts & Performance Solutions
BCBSIL

Prescription Drugs

CVS Caremark

HSA and FSAs

HealthEquity

COVID Resources

Over-the-counter COVID-19 testing
Effective January 15, 2022 your Tenneco Rx plan will cover over-the-counter diagnostic COVID-19 tests for participating members. Learn more

Get medication without leaving home
To support team members who are staying home or isolating, Tenneco is giving you more ways to get prescriptions without leaving home and without a delivery fee. Learn more