Prescription coverage is a big part of the health insurance equation, and prescription drug coverage must be chosen with great care. Even if you have great coverage for doctor visits and hospital stays, a lack of sufficient prescription coverage could leave you struggling to pay your bills. When you consider that some prescription drugs can cost hundreds or even thousands of dollars, you can see why insurance is such an essential part of the picture.
Check the Formulary First
Every prescription drug coverage plan has something called a formulary, which is a list of medications the plan will pay for. Many plans separate their formularies into tiers, with different copayment and deductible requirements for each tier. Before signing up for any prescription drug coverage plan, it is important to review the formulary carefully and make sure that all your current medications are covered.
Can You Go to Your Local Pharmacy?
In order to save money and cut administrative costs, many prescription drug insurance companies are requiring that all prescriptions for maintenance medications be filled through the company's mail order service. This can be a real convenience, but if you would prefer to pick up your medications at the local pharmacy instead, the mail order requirement can pose a problem. The time to find out about any such requirement is before you sign up for the plan.
Find Out What Your Financial Requirements Are
Every insurance company will have different requirements for copayments and deductibles, so it is important to understand all of your potential out of pocket costs before changing plans. Keep in mind that a deductible is a set amount of money you must satisfy before the insurance kicks in, while a copayment requires plan participants to pay a percentage of the cost of the medication. A 20 percent copayment may not seem like much when the medication only costs $30, but that same copayment can be devastating when applied to a $1,000 cancer drug.
What Do "Co-Payment" and "Coinsurance" Mean?
The terms co-payment and coinsurance may seem similar at first glance, but do **not** mean the same thing. In fact, the only...
How to Get Prescription Medication Without Health Insurance
Discovering ways to save money on prescription medications is especially important for people who have no drug coverage and foot the entire...
How to Change Insurance Providers
Changing insurance providers is usually done to take advantage of better benefits and price, or to increase coverage. Competition is fierce among...
How to Get a Prescription for Phentermine
When looking for a way to lose weight many Americans turn to the drug phentermine for its energy and metabolism boosting properties....
How to Transfer a Prescription From One Pharmacy to Another
If you move or need to transfer your prescription to a new pharmacy, you do not need to contact your old pharmacy....
How Medicare Affects Your Health Benefits Coverage
Medicare is a government-sponsored program that provides low-cost health insurance coverage. Typically, additional coverage is required on top of Medicare in order...