All medical plan participants receive prescription drug coverage through Premera BCBS of Alaska.
Premera BCBS of Alaska Plus HSA Qualified Silver
$3300/30%/$8050
In-network
Out-of-network
Retail (30-Day Supply)
Generic (Tier 1)
30% after deductible
30% after deductible
Preferred Brand Name (Tier 2)
30% after deductible
30% after deductible
Non-Preferred (Tier 3)
30% after deductible
30% after deductible
Mail Order (90-Day Supply)*
Generic (Tier 1)
30% after deductible
Not covered
Preferred Brand Name (Tier 2)
30% after deductible
Not covered
Non-Preferred (Tier 3)
30% after deductible
Not covered