September 9, 2010 Effective January 1, 2008 - Open Access Prescription Drug Benefits   Effective January 1, 2008, Part VII Open Access Medicare, section 7.2, is amended to reflect changes in the PDP provider and benefits for Medicare Retirees in the Plan as follows: 7.2 Prescription Drug Benefits for Medicare Retirees and Dependents Prescription drug benefits for Medicare Retirees and Dependents are provided by the Plan through an insured arrangement with a Medicare D Prescription Drug Plan (PDP). The benefits provided under that arrangement are controlled by the insurance contract. Information about the Medicare D PDP provider can be obtained by contacting the Fund Office. A summary of the benefits follows: When you use participating pharmacies, you are responsible for the percentage of the cost of covered drugs as shown below and the Medicare D PDP will pay the balance. Each Generic prescription or refill Co-pay 20% Minimum Co-pay $5 for up to and including a 30-day supply; $15 for over a 30-day supply Each Brand Name prescription or refill Co-pay 35% Maximum Co-pay (Applies to certain selected catastrophic brand-name drugs prescribed for conditions where limited or no other alternatives are available). $50 for up to and including a 30-day supply; or $150 for over a 30-day supply If the pharmacy's negotiated rate is less than the applicable Co-Pay amount described above, the Participant will pay the negotiated amount as the Co-Pay. It is the intention of the Trustees that the benefits provided under the Welfare Plan’s Medicare D PDP mirror as closely as possible the benefit provisions described in Part V of the Open Access III Plan Prescription Drug Benefits, including covered drugs, exclusions and benefit limitations. You should, however, check the information from the Medicare D PDP for details on benefits and coverage because those documents control. If you are a Medicare Retiree, you will not be covered under this Fund’s Medicare D PDP if you are enrolled in another Medicare D PDP. If you have any questions about your prescription drug coverage, you should contact the Fund Office or the Medicare D PDP provider. Contact information for the Medicare D PDP can be found on your prescription drug ID card and in the material sent to you by the Medicare D PDP. Back to Plan Updates   St. Louis Graphic Arts Joint Health & Welfare Fund 14323 South Outer Forty Rd. - Suite S106 Chesterfield, Missouri 63017 Fund Office: (314) 878-1579 twesthues@slgahw.org Fax: (314) 275-2640   If you have any comments about this web site, please contact us at twesthues@slgahw.org.   Site Concept and Design ©2002 jWeb. Maintenance and Hosting provided by jWeb.