Gold Pharmacy Coverage

Set prices — without surprises.

Pharmacy Copays for 2025

Low, flat prices for generic, preferred and non-preferred prescriptions. There are no deductibles for prescriptions — that means you’ll always pay the same flat rates without having to spend a certain amount first.

Deductible Amounts for 2025

$0 Individual
$0 Family
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Tier 1: Generic Prescriptions
$15 or less
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Tier 2: Preferred Prescriptions
$60 or less
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Tier 3: Non-Preferred Prescriptions
$85 or less
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Tier 4: Specialty Prescriptions
20% of bill $250 cap per prescription
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Prescriptions fall into four pricing levels, known as tiers, that determine what your copay will be.

Interested in a Gold plan?

If this sounds like a good fit, check out our Gold plans or apply now.

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Need help applying?

You can get help from a certified enrollment counselor right away. It’s always free and confidential. Talk to someone about your options and have them guide you through the process. You can enroll in person, by phone or online.

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