What You Need to Know About Prescription Drug Coverage

Healthcare costs are a major concern for people all over the country. A big part of that has to do with prescription drug coverage. By knowing how prescription drug coverage works and what it is in the first place, you will be better able to navigate the complicated and confusing world of prescription medication coverage. 

So if you would like to learn more then keep on reading and we will take you through everything you will need to know!

What Prescription Drugs Are Covered?

Each insurance plan is going to cover a different number of prescription medications. Before you choose a health insurance plan, it is a good idea to look at the plan’s list of covered prescription medications.  

This list is known as a formulary. How does a formulary work? 

Your plan will only cover prescription drugs that are listed in the formulary. This list might include both brand and generic drugs. 

You might still need to pay coinsurance or a copay for drugs on the formulary. Some medications on the formulary might be automatically covered with a doctor’s prescription. Other drugs might be covered after you have tried a different drug first. 

You can typically get the most recent copy of your plan’s formulary by speaking to your insurance company. You should look at the formulary before you pay for a plan. Make sure that you speak to an agent if you have any questions about out-of-pocket payments when it comes to the drugs on the formulary.

How Much Are My Prescription Drug Costs?

Health insurance plans tend to break down into three groups. Group 1 handles drug coverage before the deductible. If your plan covers your medications before you meet the deductible, each medication will usually have cost-sharing.

Group 2 deals with drug coverage after the deductible. Some plans don’t cover the cost of prescription medications until you meet your yearly deductible. You should pay attention to plans that require you to meet a deductible before coverage kicks in. 

Group 3 has to do with drug coverage after a special prescription drug deductible 

No matter which category your plan falls into, some medications might not be covered at all. Depending on the rules of the plan, you might be able to request a coverage exception. 

You can also go online and look for trustworthy sites that sell affordable drugs, like www.90daymeds.com

The Importance of Knowing About Prescription Drug Coverage

Hopefully, after reading the above article, you will now understand more about prescription drug coverage and costs. By knowing about the different groups and formularies, you’ll be able to better pick the health insurance plan that is best for you and your family.

Are you looking for other helpful and interesting health articles like this one? If you are then you should definitely make sure to check out the rest of our site today for even more! 

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Christophe Rude

Christophe Rude

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