Retiree Health Savings Plan (HSP)

How Prescription Coinsurance Works

Coinsurance is your share of the costs of a covered healthcare service, calculated as a percent (for example, 20 percent) of the total cost for the service or prescription drug. GW pays the remainder of the cost.

On the Retiree HSP:

• You must pay all costs for prescription drugs until you meet your annual deductible. After you meet your deductible, you will be responsible for 20 percent coinsurance until you reach the out-of-pocket maximum.
• Under the GW Retiree HSP, your pharmacy deductible is combined with your medical deductible.
• Preventive medications are covered at 100 percent under the GW Retiree HSP. Coinsurance and deductible do not apply.

Note: Maintenance Choice provisions apply. After three 30-day retail fills, you will need to fill a 90-day prescription via CVS Retail or CVS Mail Order or contact customer service to opt out and continue filling your prescription at your preferred pharmacy to continue receiving the preventive medications at no cost.