GHP_Copayment

YOUR COPAYMENT AMOUNT

If you are a Gundersen Health Plan member with prescription coverage through our plan and need a prescription summary, including your copayment amounts, you can create an account to view that information or contact your pharmacy. As always, if you have additional questions, please contact Gundersen Health Plan Customer Service.

Diabetic Cost Share Amounts

Diabetic Supplies

Preferred

Non-Preferred

Test Strips

$15 copay

$35 copay

Lancets

$5 copay

$25 copay

Syringes

$5 copay

$25 copay

Devices

$15 copay

$35 copay