HDHP Plan PPO Plan In-Network In-Network Deductible & Out-of-Pocket Maximum Integrated with medical plan Deductible waived; out-of-pocket maximum integrated with medical plan Generic (Retail) 20% coinsurance ($15 min / $40 max) 20% coinsurance ($15 min / $40 max) Preferred (Retail) 40% coinsurance ($65 min) 40% coinsurance ($65 min) Non-Preferred (Retail) 50% coinsurance ($100 min) 50% coinsurance ($100 min) Generic (Mail-order) 20% coinsurance ($30 min / $80 max) 20% coinsurance ($30 min / $80 max) Preferred (Mail-order) 40% coinsurance ($130 min / $180 max) 40% coinsurance ($130 min / $180 max) Non-Preferred (Mail-order) 50% coinsurance ($200 min / $250 max) 50% coinsurance ($200 min / $250 max) *Specialty Medications (Through Archimedes) $250 $250 *Specialty medications are not available through Caremark, but through Archimedes. Use their member portal to create an account or call 888-504-5563 to get started with an order.