What is the coverage for prescription medications?
Asked 2 years ago
Great West Health typically offers a range of prescription medication coverage options, which can vary based on the specific plan selected by the policyholder. The details of coverage often include a formulary, which is a list of medications that are covered under the plan. This formulary usually categorizes medications into tiers, with each tier having different co-payment or co-insurance amounts.
In general, tier one medications may have the lowest co-payment, typically covering generic medications, while tier two may include preferred brand-name medications which may have a higher co-payment. Tier three and higher commonly consist of non-preferred brand-name medications or specialty drugs, which usually incur the highest out-of-pocket costs for the insured.
Additionally, Great West Health may provide coverage for certain preventive medications at no cost to the policyholder. It is also important to note that some plans may require prior authorization for specific medications, meaning the policyholder will need to obtain approval before the medication will be covered.
The exact coverage details regarding prescription medications are best clarified by reviewing the policy documents or the specific plan summary. Individuals are encouraged to visit the current Great West Health website, where they can find additional resources and information regarding their coverage options, including any updates or changes that may have occurred.
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