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Plan Design

Plan Design

We can administer a variety of pharmacy benefit designs based on your preferences and requirements. We collaborate with our customers to structure copayments, drug coverage exclusions and network coverage – to help align member out-of-pocket costs with the value of drug choices. This helps you balance cost and value, while maintaining access and choice.

We encourage the best use of your employees' pharmacy benefit by placing high-value medications in the most affordable copay tier on our Prescription Drug List (PDL). Working together, our PDL and benefit designs create value and encourage better health care decisions.

Numerous plan designs are available to fit your needs and the needs of your employees. We can provide:

  • Tiered plans: Traditional 2, 3, and 4 Tier designs.
  • Consumer Driven Health plans: We are among the leaders in the nation in CDH plans with over 1 million members participating in our medical and pharmacy plans.
  • Specialty Medication plans: We also offer smart solutions to managing specialty medication benefits - helping your employees manage complex or life-threatening diseases by providing coverage for important medications while helping to keep your costs down.

Learn more about our programs, tools and resources available to you.


Savings Programs

Innovative member campaigns that maximize savings.

Employer Resources

Newsletter articles, brochures, and email templates for your employees.

Watch This!

Empowering Members to Make Better Health Decisions