Silver Pharmacy Coverage

Prescriptions can be even cheaper at the Silver level.

Pharmacy Copays for 2025

For Silver 70 plans, once you’ve spent a certain amount for the year at the pharmacy, you’ll pay a discounted flat rate for prescriptions. With Silver 73, 87 and 94 plans, you never have to meet a deductible first — you’ll always pay the “after deductible” cost.

Deductible Amounts for 2025

$0 to $50 Individual
$0 to $100 Family
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Tier 1: Generic Prescriptions
$3 to $18 After Deductible
(if applicable)
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Tier 2: Preferred Prescriptions
Full Cost Before Deductible
(Silver 70 only)
$10 to $60 After Deductible
(if applicable)
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Tier 3: Non-Preferred Prescriptions
Full Cost Before Deductible
(Silver 70 only)
$15 to $90 After Deductible
(if applicable)
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Tier 4: Specialty Prescriptions
Full Cost Before Deductible
(Silver 70 only)
10% to 20% of Bill After Deductible
(if applicable)
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Prescriptions fall into four pricing levels, known as tiers, that determine what your copay will be.

Interested in a Silver plan?

If this sounds like a good fit, check out our Silver plans or apply now.

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You can get help from a certified enrollment counselor right away. It’s always free and confidential. Talk to someone about your options and have them guide you through the process. You can enroll in person, by phone or online.

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