If applicable, out-of-network providers may bill participants or beneficiaries for the difference between a provider’s billed charges and the sum of the amount collected from the group health plan and from the participant or beneficiary in the form of a copayment or coinsurance amount and the provided cost-sharing estimate does not account for these potential additional amounts.

Prices are estimates only and are based on typical contracted prices paid to pharmacies. Prices do not include federal, state, or local taxes or additional fees. The actual price you pay is determined by your benefit plan, and will be calculated at your pharmacy at the time of purchase.

The estimate of cost-sharing liability for a covered item or service is not a guarantee that benefits will be provided for that item or service.

Third Party payments will be applied to your deductible and out-of-pocket maximum accumulators as required by law.

Items and services that are considered preventative services under the Affordable Care Act will not be subject to cost share if received in-network.