Category Archives: Explore our Resources

Identifying the Right Policy Among a Sea of Options

Choosing insurance coverage is a big decision that can impact your family’s health and financial situation for the year. Before selecting a health plan for your family, it’s critical you know and can anticipate your family’s healthcare needs. Knowing things like your family history, potential risk factors, and preferred doctors are all important factors that […]

Making Sense of the Different Types of Plan Structures

This article discusses five types of insurance plans to help you better understand them. Knowing how each is structured will help you choose the right plan for you or your family.

Starting The Conversation On Costs With Your Doctor

This article explains how sometimes even with insurance, the costs associated with healthcare can be more than you expect or budget for.

What’s so Special About a Specialty Pharmacy?

In this article, we discuss how specialty pharmacies work with your insurance company. Specialty pharmacies typically fill medications that are especially complex,

Tips for Better Communication With Your Pharmacist

This printable article describes how pharmacists are well-educated in both prescription and over-the-counter products and are able to help with any medication questions or concerns. Pharmacists work closely with your doctor to give you professional guidance about your health.

What Does an Approved Pre-Authorization Mean?

In this article, we discuss how a pre-authorization is a restriction placed on certain medications, tests, or health services that require your doctor to first check and be granted permission before your plan will cover the item and the steps required to get one.

How to Read Your Medication Formulary

The formulary should be organized in a way to show members what is covered and how it’s covered

Filing a Formulary Exception

This article informs you if you need a medication that is not on your plan list, that you can formally ask your insurer to cover the medication for you by submitting a “formulary exception” and how to.

Navigating Pre-Authorizations: Medications

This article discusses how to navigate pre-authorizations your insurance company may require for you to access certain medications.

Navigating Pre-Authorizations: Procedures or Testing

This article describes that a pre-authorization is a restriction that requires your doctor to get the go-ahead from your benefit plan before a procedure or test will be covered and other pre-authorization facts.