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Prescription Drug Coverage

September 17, 2009

Standard health insurance plans provide some benefits for prescription drug coverage. The details and copay amounts will vary by plan, however, coverage may be similar. Prescription drugs are those medications which require a written order from an appropriately licensed healthcare provider in order to be dispensed by a pharmacist.

Depending on your coverage, a deductible may or may not apply in the case of drug coverage. In general, most health plans require a higher copay for brand name drugs than for generic drugs. Requesting generic prescriptions from your healthcare provider may reduce your out of pocket expense. Some health plans offer a more cost effective benefit for those choosing to fill prescriptions for a 90-day supply of a routine medication and using an approved prescription drug mail order service.

When selecting a new health insurance plan, it will be beneficial to list your family’s routine medications and determine if those drugs are covered. Experimental drugs and drugs used for off-label purposes may not be covered. Do not assume all prescription drugs will be covered. Read all exclusions listed in the plan.

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Posted in :health insurance | 2 Comments. »

2 Responses to Prescription Drug Coverage

  1. I wold like to know which medications would be covered by yur plan

  2. Melvin,
    Prescription coverage will vary by the particular health insurance plan that you apply for. However, the majority of the plans offered will provide prescription coverage (with a copayment) for every tier of prescription medication.


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