Patient’s Responsibility for Outpatient Chemotherapy
|
|
Hospital
Outpatient Dept. |
Physician's Office |
Pharmacy |
|
|
Chemotherapy
Administration |
No copay |
Par |
No copay |
Not Covered |
|
Non-Par |
2007 Deductible: $335 Coinsurance: 20% of total
charge or R&C Charge, whichever is lower. 100% of any amount exceeding
R&C Charge. |
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|
Chemotherapy drugs/agents |
No copay |
Par |
No copay |
Generic:
$5 or $10 copay for up to 90 day supply Preferred Brand:
$20 or $30 copay for up to 90 day supply |
|
Non-Par |
2007 Deductible: $335 Coinsurance: 20% of total
charge or R&C Charge (AWP), whichever is lower. 100% of any amount
exceeding R&C Charge. |
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