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Georgia Plan Benefits

Blue Open Access POS

With Blue Open Access POS, you get more of what you want – more choices, more convenience and more control. That’s a lot of more. And with Anthem, you get a dedicated, dependable partner to join you on your journey.

Learn more about the Blue Open Access POS

Let’s break down details of the Blue Open Access POS plan.

  • You can visit network or non-network providers
  • Know before you go: Those non-network providers are going to cost a little more out-of-pocket for you
  • When you see network providers, there’s no deductible . . . you’ll have lower out-of-pocket, too

View a List of Plan Providers

Pharmacy Benefits

Prescription Drug Copays for 2022

With Blue Open Access POS you can choose between Level 1 or Level 2 pharmacies. Level 1 pharmacies have lower copayments than Level 2. Please contact customer service to get a list of Level 1 and Level 2 pharmacies.

This table shows your monthly and yearly costs for prescription drugs in 2022. If you have any questions about your coverage, call the Member Services number on the back of your identification card.
 

Level 1

30-Day Supply (Retail) Yearly Cost 30-Day Supply (Retail) 90-day Supply (Mail Order) Yearly Cost 90-Day Supply (Mail Order)
Tier 1 $5 copay $60.00 $10 copay $40.00
Tier 2 $70 copay $840.00 $175 copay $700.00
Tier 3 $110 copay $1,320.00 $275 copay $1,100.00
Tier 4 35% of our allowance
($350 maximum per prescription)
90-day supply is not available 90-day supply is not available
Prescription Drug Copays for 2021 at Level Two

Level 2

30-Day Supply (Retail) Yearly Cost 30-Day Supply (Retail) 90-day Supply (Mail Order) Yearly Cost 90-Day Supply (Mail Order)
Tier 1 $20 copay $240.00 N/A N/A
Tier 2 $80 copay $960.00 N/A N/A
Tier 3 $120 copay $1,440.00 N/A N/A
Tier 4 35% of our allowance
($350 maximum per prescription)
90-day supply is not available 90-day supply is not available

 

Benefits Resources