• Your Initial Coverage Limit is $3,000 NOT $2,510 - UPREHS expands your Medicare standard benefit amount from $2,510 to $3,000 as an Enhanced Benefit.
• You do NOT pay the Part D deductible of $275 - UPREHS pays your $275 deductible for you as an Enhanced Benefit.
• Your copayments and drug costs at the UPREHS Mail Order Pharmacy are much less - Our costs are much higher for your drugs from the participating nonpreferred retail pharmacies.
• Your prescription drug copayments remain the same for 2008 as shown in the enclosed 2008 UPREHS Prime Medicare Plan Summary of Benefits.
• Your UPREHS pharmacy benefits are again expanded -UPREHS pays for the cost of some mental health drugs not covered by Medicare Part D and you pay the applicable Tier copay and/or the cost of these drugs once your Enhanced Benefit is used. These drugs are not applied to your Part D benefits or cost sharing. Drug examples are: Alprazolam, Diazepam, Lorazepam, Phenobarbital, Temazepam, etc.

UPREHS Healthcare Prepayment Plan/Medicare Secondary
UPREHS is authorized to pay your Original Medicare Part B claims to participating providers for office visits and office services, consultations, hospital visits, and surgical procedures.  When UPREHS HCPP receives a participating physician’s claim for your services, payments for Original Medicare Part B benefits and your UPREHS Medicare Secondary Plan benefits are made in one check directly to the physician, which eliminates billing Railroad Medicare and You. 

UPREHS Medicare members are still receiving Original Medicare Part A and B benefits.  UPREHS HCPP members continue to get their Medicare benefits through Original Medicare Part A and B whether or not the provider is participating with UPREHS.  UPREHS HCPP does not change Original Medicare Part B benefits; congressional law creates and defines those benefits.  The UPREHS Board of Trustees determines only the premium amounts and the benefits that are paid secondary to Original Medicare under the UPREHS Medicare Secondary Plan.