2025 Plan materials

UAW Trust PDP

2025 materials

Benefits and costs

Plan options and costs
Benefit

UAW Trust Medicare Rx PDP

UAW Trust Medicare Rx PDP

Annual out-of-pocket maximum

$1,000 for Tier 2 only

Annual out-of-pocket maximum

$1,000 for Tier 2 only

Deductible

None - Member pays applicable copay

Deductible

None - Member pays applicable copay

Initial Coverage Stage

Member pays applicable copay

Initial Coverage Stage

Member pays applicable copay

Catastrophic Coverage Stage

Member pays the “lesser of” either the Trust copay or percentage of the drug copay

Catastrophic Coverage Stage

Member pays the “lesser of” either the Trust copay or percentage of the drug copay

Prescription drug coverage

Retail 31-day supply; same as 90-day mail order

Tier 1 - $0 copay

Tier 2 - $33 copay

Tier 3 - $115 copay

Prescription drug coverage

Retail 31-day supply; same as 90-day mail order

Tier 1 - $0 copay

Tier 2 - $33 copay

Tier 3 - $115 copay