Tag: formulary

Accessing Provider Directories and Formularies: CHIR Goes Sleuthing

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We’re counting down again to Open Enrollment 3 and this year, all health plans must make accessing provider directories and formularies, or the list of covered prescription drugs, easy for consumers. This means consumers should be able to find this information on insurer website sites without creating an account or entering a policy number. CHIR’s Sandy Ahn flexes her investigative skills and looks to see how accessible this information really is.

Enrolled in a Plan that Doesn’t Cover Your Prescription Drug: What Consumers Need to Know

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One of the key consumer protections in the Affordable Care Act is the requirement that plans must have a limit on out-of-pocket costs. However, there are limits on the limit, and the details matter. Consumers who need a non-formulary drug run smack into one of those limits, but they have options to get the drugs they need as a covered benefit. JoAnn Volk provides a run down.

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