High deductible health plans are changing the customer marketplace Before the third-party payers entered into the health insurance industry to cover a patient’s medication (full or partial), most patients paid for their medications 100% out of pocket. These amounts used to vary a bit across pharmacies. Prescription drug shopping back then was more like shopping… [Read More…]
Medicare
How Pharmacy Benefits Managers (PBMs) Use Spread Pricing To Make Money
Pharmacy Benefit Managers(PBMs) like Express Scripts and CVS use spread pricing to make money but are these PBMs now using this spread pricing to their advantage? Want to know more? Find out below: What is ‘Spread Pricing’? PBMs that practice spread pricing charge their sponsors/clients more for a prescription drug than what they actually pay… [Read More…]
Prescription Drug Prices Can Be Lowered If PBMs Show Some Transparency
President Donald Trump in his speech on May 11, pointed out Express Scripts and other pharmacy benefit managers (PBMs) as the biggest problem makers in the prescription drug industry. According to his statement, PBMs are the ‘middlemen’ in the system who have been getting richer and richer through rebates while depriving people of the discounts… [Read More…]
Is Your Prescription Included in the New Express Scripts Formulary or Caremark Formulary 2018?
Insurance Companies Are Dropping Coverage from These 80+ Drugs If you have got health insurance, it’s important to pay attention to changes in prescription drug coverage. Each year, health insurance companies and drug manufacturers make changes in the “formulary” ( prescription coverage) that can bring surprises for many consumers heading to the pharmacy. Here we… [Read More…]
Top 6 Tips for Buying an Affordable Healthcare Plan
The task of buying health insurance on your own can feel overwhelming. How much will it cost? What will it really cover? Where do I go to get started? There are many factors to consider. How can you find an affordable healthcare plan that also provides the coverage needed for you and your family? Fortunately, there… [Read More…]
Are Young People Better Off Without Insurance?
Young people who do not have any chronic medical conditions may not realize that they could be saving money by going without health insurance. With the costs of health insurance rising, and many confusing costs included in the health insurance plans on the healthcare exchange, many younger adults are finding that the price of paying… [Read More…]