November 23, 2010 
This came out a few months ago, and I’ve been carrying it around for a while. (Here’s the summary.)
I read section 9 which is about the prescription drug benefits. A few facts from the report:
- Almost 3/4 of people have copays (i.e., flat dollar amount) versus co-insurance (i.e., percentage of cost).
- The average copayments were:
- $11 first-tier
- $28 second-tier
- $49 third-tier
- For co-insurance, the payments were:
- 17% first-tier
- 25% second-tier
- 38% third-tier
- 13% of workers had a plan with four or more tiers
- 5% of workers have plans were the cost sharing is the same regardless of drug chosen
One of the more interesting things I saw is that average copays on first and second tier drugs are going up while the average coinsurance is going down. Not much but directionally interesting.
No comments yet... Be the first to leave a reply!