Prescription Drug Plans for Individuals

It doesn’t matter if you are completely healthy or frequently visit the doctor, health insurance will help you in your life. However, when 50 percent of the uninsured population make less than 200 percent of the federal poverty level—currently around 24,000 dollars—it’s understandable to see why an average of 28 million Americans are going without coverage. Not only are many people saying they can’t afford the cost of protection, but an estimated 63 percent are worried they won’t be able to cover the costs of normal care.

Luckily, there are health care providers with the goal of making your life easier. Insurance Line One wants to make sure everyone is capable of acquiring the prescriptions they need. This is why our base level health insurance packages are at a reasonably set price of five dollars a day. Not being able to recover completely because you don’t make enough to pay the 200 dollar fee for a doctor’s visit isn’t fair. Furthermore, choosing to ignore this service will result in you risking your financial and physical well-being.

Dangers of Going Uninsured

Many people choose to go uninsured for a multitude of reasons. However, a strong belief held by many of the uninsured is the idea if they live a healthy life and are cautious they won’t ever need to see the doctor. This isn’t the type of world we live in, though. Many people are injured because of someone’s else fault or get sick because an illness was carried around the office. When you don’t have health insurance you are less likely to have a usual source of care.

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You might even be part of the estimated 40 percent of uninsured people who don’t have a normal place to go to for medical care. Without this regular place to go to, you are going to be more likely to push off treatment. When you do this you are only making your situation worse, and causing yourself more pain. Granted, you might actually have a place to go, but be part of the millions who choose to postpone service.

An estimated 23 percent of people who are uninsured delay a visit to the doctor because of the costs. Another 20 percent will push off a needed procedure because they can’t afford it. When you start pushing off your symptoms you are risking your physical safety. There is an average of 40 million people in the United States with a mental condition in some form. Yet, only 56 percent get the care they need to fix their instability.

Without the proper medication to help people with mental disorders, many can have episodes. Mood disorders, such as depression and bipolar disorder, are the third most common reason for hospitalizations. One stay in the hospital can cost you anywhere from 1,500 dollars to 3,200 dollars. However, with health insurance you will be able to get the care you need at an affordable rate. But, be aware of what your health insurance does and doesn’t cover.

How Do I Know Which of My Medication is Covered?

Health insurance won’t cover everything like many people think. Depending on the package you received you may acquire more help than others. Identifying which medications are in-network can be done through the formulary they send you. When you finally acquire health insurance you will receive a packet of information regarding what procedures are covered and medications are discounted. The formulary shows which prescriptions are covered, which is why it’s also called a drug list.

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Furthermore, health insurance companies have separated the hundreds of drugs available into four separate tiers. These tiers help determine how much you pay for certain drugs. For instance, tier one drugs are preferred generic brands. These are some of the cheapest drugs you can get because the patent has expired, widening the competition.

Tier one drugs average around 20 dollars in copayments, while tier two drugs are around 40 dollars. Tier two prescriptions are higher-priced generics and low-costing brand names. Next, is tier three drugs, which is estimated to be around 60 dollars with health insurance. These drugs encompass brand name medications with no generic substitute.

Finally, tier four drugs are the most expensive, being around 100 dollars or more in payments. However, these remedies are more severe and are for more extreme illnesses, like cancer. Although, before you start receiving many of the benefits of health insurance, you might need to fulfill your deductible first.

How Does My Deductible Affect My Prescription?

A deductible is included in many health insurance plans, which you’ll need to pay off before you can start seeing the full benefits of your package. There are three main types of deductibles when it comes to your medication coverage, though. Each one has their own distinctions and are for different people depending on their lifestyle.

For instance, the first group of deductibles will allow you to still receive a discounted price for your medication. You’ll need to look at your formulary, though, to see how much the coinsurance or copay is for that specific tier. However, there is also a deductible you’ll need to completely fulfill before you start seeing any coverage on your medication. This can be costly were you to not see the doctor frequently, which is why there is also a specialized prescription deductible.

This deductible is completely separate from your medical care one, and will be a lot lower than it, as well. However, it can only be finished through medication spending. Although, you’ll start receiving benefits right away, and you’ll have to pay a simple copay after.

Where Should I Acquire Prescription Health Insurance?

Health insurance is vital to how we do business with medical facilities these days. Without coverage you can be looking to spend 200 dollars on a routine check-up and this doesn’t include any of the tests or medication. However, with health insurance by your side you will have your total medical bill more than halved. Insurance Line One wants to ensure everyone has the possibility to acquire this service.

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Starting our services at a low price of 150 dollars a month, creates new openings for many people. Additionally, we’ve scrupulously indexed our list of available services into an easy-to-read format to avoid any possible confusion. We don’t want you picking a package only to find out you have to pay hundreds, maybe even thousands more than you anticipated. Providing you with year-round open enrollment will allow you to take as much time as you need to make a decision.

Sources:
https://www.kff.org/uninsured/fact-sheet/key-facts-about-the-uninsured-population/
http://www.mentalhealthamerica.net/issues/state-mental-health-america
https://www.nerdwallet.com/blog/health/drug-formularies-and-prescriptions/

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