When the Fund pays out in excess of $1,200 for 12 months from December through November for an individual member or family (or $2,400 for SCOB – a member with a spouse/domestic partner who is also an in-service member), the member is placed in the Cost Care Program on January 1st of the calendar year. Cost Care participants who want brand-name drugs must pay the cost difference between the brand name and the generic if available, plus the applicable copay.