What are the coverage options for prescription medications?

The New York State Health Insurance Program (NYSHIP) offers various coverage options for prescription medications. Depending on the NYSHIP plan, individuals may have access to a comprehensive prescription drug benefit. This benefit typically includes coverage for both generic and brand-name medications. NYSHIP plans often have a formulary, which is a list of approved drugs covered by the insurance. In some cases, individuals may need to pay a copayment or coinsurance when getting prescription medications. Additionally, NYSHIP offers a mail-order pharmacy service that allows members to conveniently receive their prescription drugs at home. It is important for individuals to review their specific NYSHIP plan and its medication coverage details to understand available options and any potential limitations.