For the 2022-2023 policy year, the prescription drug cost share will change to the following

• Tier 1: $15 copay
• Tier 2: 20% coinsurance
• Tier 3: 20% coinsurance

This change can have an impact on your out-of-pocket costs if you need prescriptions that will require you to pay 20% of the medication's cost up to the plan's $6,350 in-network out-of-pocket maximum (there is no out-of-network out-of-pocket maximum). Before enrolling, we encourage students impacted by the change to compare all other insurance options to the RWU SHIP

Information about the RWU SHIP can be found at www.universityhealthplans.com/rwu. To look up your prescription medication, choose the Prescription Information link on the left. Health Source RI offers information about the RI marketplace where you can compare and purchase insurance plans. You may be eligible for a Subsidized Health Plan (a low or no cost insurance program for qualifying uninsured adults).

I have read and acknowledge the above statements

For the 2022-2023 policy year, the prescription drug cost share will change to the following

• Tier 1: $15 copay
• Tier 2: 20% coinsurance
• Tier 3: 20% coinsurance

This change can have an impact on your out-of-pocket costs if you need prescriptions that will require you to pay 20% of the medication's cost up to the plan's $6,350 in-network out-of-pocket maximum (there is no out-of-network out-of-pocket maximum). Before enrolling, we encourage students impacted by the change to compare all other insurance options to the RWU SHIP

Information about the RWU SHIP can be found at www.universityhealthplans.com/rwu. To look up your prescription medication, choose the Prescription Information link on the left. Health Source RI offers information about the RI marketplace where you can compare and purchase insurance plans. You may be eligible for a Subsidized Health Plan (a low or no cost insurance program for qualifying uninsured adults).

I have read and acknowledge the above statements