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Re: rosemountbomber post# 234149

Sunday, 12/15/2019 1:13:17 PM

Sunday, December 15, 2019 1:13:17 PM

Post# of 447392
r-

I was having a discussion with Louie as we both have Fed BCBS. Right now V is tier 3 and Louie explained the reason we now pay about 40 bucks a month is because our script is currently covered at 50% so half of 300 is 150 minus the coupon of 110 yields 40.

We were discussing if BCBS made it tier 2 then our copay would be 30%. I then predicated that if we lost the coupon then the 30% tier 2 would cost us 90 bucks a month. Louie's opinion was that once it is tier 2 then BCBS would negotiate a better price for us yielding a lower cost.

It is apple to orange: the coupon is (i) applicable for T2 and T3 or (ii) to none of them).

(i) T3: $40; T2: $3 (300 x 0.3 = 90 - 87)
(ii) T3: $150; T2: $90

Best,
G


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