Program participants shall pay all of the following:
(a)#
For each 12-month benefit period, a program enrollment fee of $30.
(b)#
1. For each 12-month benefit period, for a person specified in sub. (2) (a), a deductible for prescription drugs that is based on the percentage that a person’s annual household income, as determined by the department, is of the federal poverty line for a family the size of the person’s eligible family, as follows: a. One hundred sixty percent or less, no deductible. b. More than 160 percent, but not more than 200 percent, $500. c. More than 200 percent, but not more than 240 percent, $850. 2. For each 12-month benefit period, for a person specified in sub. (2) (b), a deductible for prescription drugs that equals all of the following: a. The difference between the person’s annual household income and 240 percent of the federal poverty line for a family the size of the person’s eligible family. b. Eight hundred fifty dollars.
(b)(1)#
For each 12-month benefit period, for a person specified in sub. (2) (a), a deductible for prescription drugs that is based on the percentage that a person’s annual household income, as determined by the department, is of the federal poverty line for a family the size of the person’s eligible family, as follows: a. One hundred sixty percent or less, no deductible. b. More than 160 percent, but not more than 200 percent, $500. c. More than 200 percent, but not more than 240 percent, $850.
(b)(1)(a)#
One hundred sixty percent or less, no deductible.
(c)#
After payment of any applicable deductible under par. (b), all of the following: 1. A copayment of $5 for each prescription drug that bears only a generic name. 2. A copayment of $15 for each prescription drug that does not bear only a generic name.
(c)(1)#
A copayment of $5 for each prescription drug that bears only a generic name.
(c)(2)#
A copayment of $15 for each prescription drug that does not bear only a generic name.
(d)#
If a person who is eligible under this section has other available coverage for payment of a prescription drug, this section applies only to costs for prescription drugs for the person that are not covered under the person’s other available coverage.