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What do I need to know if I’m receiving extra help from Medicare to pay for my prescription drugs? If you continue to qualify for the same amount of help from the government next year, the table below tells you how your 2008 prescription costs will change.

If you pay this much this year (2007)
You will pay this much next year (2008)

$0 deductible

$0 deductible

$1 for generics and brands treated as generics
$3.10 for brand name drugs

$1.05 for generics and brands treated as generics
$3.10 for brand name drugs
$2.15 for generics and brands treated as generics
$5.35 for brand name drugs
$2.25 for generics and brands treated as generics
$5.60 for brand name drugs

The lower of 15% co-insurance for all drugs, or the Tier copayment amount

The lower of 15% co-insurance for all drugs, or the Tier copayment amount

If you qualify for extra help, you pay a reduced UPREHS monthly premium. If you continue to qualify for the same amount of extra help next year, the table below tells how much your will pay for a monthly premium. (This does not include any Medicare Part B premium you may have to pay.)

Your level of extra help Combined 2008 Monthly Premium for the UPREHS Medicare Plans

100%

$182.30

75%

$189.20

50%

$196.10

25%

$203.10


You may receive (or have already received) a letter from Medicare, the Railroad Retirement Board, or the Social Security Administration (SSA) about your eligibility for extra help in 2008. Read this important information carefully. If you don’t know what level of extra help you qualify for, you can call 1-800-MEDICARE (1-800-633-4227) for this information. TTY/TDD users should call 1-877-486-2048. They are available 24 hours a day, 7 days a week. UPREHS does not make this determination and we receive the information from Medicare.

As an enhanced benefit, UPREHS offers additional coverage on some prescription drugs not normally covered in a Medicare Prescription Drug Plan. If you receive extra help from Medicare in paying for your drugs, you will NOT receive this extra help for these particular drugs. Please refer to the formulary being sent to you by separate mailing to see which drugs are covered by the enhanced benefit. Your copayment amounts for these drugs are dependent on the formulary Tier they are assigned and do not apply to your Part D benefits or cost sharing.

Benefits, formulary, pharmacy network, premiums and/or copayments may change on January 1, 2009. You may contact UPREHS for details.

Last Updated: 04/06/2008

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