How to Find Out if Your Health Plan Covers Your Medications

It’s a common misconception that health insurance plans will automatically cover all medications. However, this is not always the case. In fact, a recent study found that more than a third of Obamacare plans won’t tell you if they cover your drugs.

This can be a major problem, especially if you rely on certain medications to manage a chronic condition. If you don’t know whether your plan covers your medications, you could end up paying a lot of money out of pocket.

So, how do you find out if your health plan covers your medications? Here are a few tips:

Check your plan’s formulary. A formulary is a list of the drugs that are covered by your plan. You can usually find your plan’s formulary on the insurer’s website.
Contact your insurance company. If you can’t find your plan’s formulary online, you can call your insurance company and ask them for a copy.
Use a drug coverage tool. There are a number of online tools that can help you determine whether your medications are covered by your plan.

Once you know whether your plan covers your medications, you can make an informed decision about whether to enroll in the plan. If your medications are not covered, you may want to consider other plans that do cover them.

What if my medications are not covered by my plan?

If your medications are not covered by your plan, there are a few things you can do:

Talk to your doctor. Your doctor may be able to prescribe a different medication that is covered by your plan.
Contact your insurance company. Your insurance company may be able to provide you with a list of covered medications that are similar to your current medications.
Use a patient assistance program. Patient assistance programs can provide free or low-cost medications to people who cannot afford to pay for them.

Don’t give up if your medications are not covered by your plan. There are a number of resources available to help you find the coverage you need.

Our licensed health insurance agents are experts in understanding and comparing coverage under the Affordable Care Act and finding the right plan options for you!

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