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Early Retirees

HMO	Office Visit	Hospital	Prescription Drug Plan
PacifiCare	$5	100%	Mandatory Generic Rx Drug Plan 30-day Walk-in $0 Generic/$10 Brand 100-day - $0 Generic/$20 Brand
Kaiser Permanente	$5	100%	100-day Walk-in $0 Generic/ $10 Brand

Secure Horizons & Senior Advantage Retirees  

HMO	Office Visit	Hospital	Prescription Drug Plan
Secure Horizons	$5	100%	Secure Horizons MA-PD Rx Drug Plan 30-day Walk-in $5 Generic/$15 Brand 90-day Mail Order - $10 Generic/$30 Brand
Senior Advantage	$5	100%	Senior Advantage MA-PD Rx Drug Plan 100-day Supply $5 Generic/$15 Brand

Medicare Supplement Plan:
An alternate to choosing one of the HMO plans above is a supplement plan for Parts A and B of Medicare.

Annual Maximum per person	$2,500
Mandatory Generic Prescription Drug Plan Administered by Prescription Solutions	30-day - $0 Generic/$10 Brand 100-day - $0 Generic/$20 Brand

Premium Reimbursement Plan:
Individuals who live outside the HMO service area or reject HMO coverage are eligible to participate in the Premium Reimbursement Plan. There are two benefits:

1. Periodic reimbursement of an amount equal to the lesser of your cost of your private medical insurance or a specified maximum, based on the lowest cost early retiree HMO premium available under the Plan. This maximum reimbursement amount is generally adjusted each October 1.
2. Prescription drugs through the Mandatory Generic Prescription Drug Plan - 30-day Walk-in $0 Generic/$10 Brand and Mail Order 100-day - $0 Generic/$10 Brand.