COMING SOON: Explore benefits and coverage for our federal health plans.
Open Season 2026
The High Option prescription drug plan includes access to 67,000+ pharmacies in the Optum Rx network, along with home delivery in all 50 states.
NEW for 2027: Optum Rx® will administer your pharmacy benefits.
High Option prescription coverage
Retail prescription drugs
Non-specialty 30-day supply
Mail-order prescription drugs
Non-specialty 90-day supply
Retail prescription drugs
Specialty 30-day supply
Mail-order prescription drugs
Specialty 90-day supply
In-network (PPO) you pay
$10 for Tier 1
25% for Tier 2, max $200 per Rx
45% for Tier 3, max $300 per Rx
$20 for Tier 1
25% for Tier 2, max $300 per Rx
45% for Tier 3, max $500 per Rx
25% for Tier 4, max $300 per Rx
25% for Tier 5, max $600 per Rx
45% for Tier 6, max $1,000 per Rx
25% for Tier 4, max $150 per Rx
25% for Tier 5, max $300 per Rx
45% for Tier 6, max $500 per Rx
The calendar year deductible does not apply to pharmacy benefits. However, money spent on pharmacy coinsurance counts toward the deductible.
The plan now covers GLP-1 drugs for weight loss at 50% per prescription.
Visit the Optum Rx prescription cost calculator.
High Option retirees receive Medicare prescription drug coverage at no extra cost.
Receive up to a 90-day supply of all prescriptions except specialty medications at any in-network pharmacy.
Federal Health Plans
COMING SOON: Explore benefits and coverage for our federal health plans.
High Option
Consumer Driven Option
Federal Health Plans
View a summary of benefits and coverage (SBC) for your plan.
High Option
All Health Plans
Locate in-network medical doctors and providers.
High Option
DEFINITION
Receive a $25 wellness incentive added to your PCA for each family member who completes a yearly checkup or recommended screening.
DEFINITION
15% coinsurance: The percentage of costs you pay after you pay the deductible.
DEFINITION
A Copay is a fixed amount you pay for a covered healthcare service, usually at the time you receive the service.
DEFINITION
Plan allowance is the maximum amount a plan will pay for a covered healthcare service