Southern Electric Company- 2024 Benefits Guide

MEDICAL BENEFITS

RETAIL PRESCRIPTIONS

Drugs have the lowest copay. This tier will contain low cost and preferred medications that may be generic, single source brand-name drugs1, or multi-source brand-name drugs2.

Tier 1

Drugs will have a higher copay than those In tier 1. This tier will contain preferred medications that may be generic, single source brand-name drugs1, or multi-source brand-name drugs2. Drugs will have a higher copay than those on tier 2. This tier will contain non-preferred and high-cost medications. This will include medications considered generic, single source brand-name drugs1 and multi-source brand-name drugs2.

Tier 2

Tier 3

Tier 4

Specialty Drugs.

MAIL ORDER PRESCRIPTIONS You have the option of ordering pharmacy maintenance medications through the mail. This benefit offers the convenience of home delivery as well as lower copays. Mail order prescriptions are available through United HealthCare. Please call the customer service number on your ID card to see if your prescriptions are eligible for this service.

You may also manage your medical benefits through the United HealthCare website, www.uhc.com. You may access this site 24 hours a day to check your claims, find a provider, order an ID card and more.

4 Southern Electric Company 2024 Benefits Guide

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