Health Insurance Resources

Did you know insurance plans have a list of medicines they cover? It’s called a formulary. If your medicine isn’t on that list, you’ll likely have to pay much more out of pocket. Even if the covered drug is on the list, if it is on a higher formulary tier, there still may be higher out-of-pocket costs or other barriers to access. Tiers are the groupings of drugs on a formulary that have different levels of patient out-of-pocket costs.

Before choosing or switching plans, knowing how a plan covers your medicines is important to ensure that you have access to the treatments you need. Take the time to learn the basics and evaluate your options to make sure you’re choosing the best coverage options for you and your family. There is a lot of information to learn and digest, but we’re here to help.

Unfortunately, there’s a lot of confusing information out there about how prescription medications are covered. To help you make sense of it, we’ve provided a few key resources that explain how coverage works, who makes decisions about your care after you see your doctor and what to watch out for when accessing your medicine. You’ll also find information about the health insurance marketplace to support your decision-making. These tools are designed to help you choose the best health care plan for yourself and your loved ones.