Prescription drug plans are a form of insurance offered through some health insurance plans. In the U.S., the patient usually pays a copayment and the prescription drug insurance part or all of the balance for drugs covered in the formulary of the plan. Such plans are routinely part of national health insurance programs. For example, in the province of Quebec, Canada, prescription drug insurance is universally required as part of the public health insurance plan, but may be purchased and administered either through private or group plans, or through the public plan.
The level of coverage for these services can vary. All the plans in the marketplace must provide consumers with a brief, understandable description of what they cover and how their plan works. The Summary of Benefits and Coverage (SBC) must be posted on the plan's website. Check out the SBCs for the different plans you are considering. This is a good way to compare plans and benefits.
In context of global population aging, with increasing numbers of older adults at greater risk of chronic non-communicable diseases, rapidly increasing demand for primary care services is expected in both developed and developing countries. The World Health Organization attributes the provision of essential primary care as an integral component of an inclusive primary health care strategy.
An important note about Avera Health in South Dakota. Avera Health declined to renew our contract to offer their ACA plans in 2019. When we inquired as to why, we received this reply on 10/18/18: “RVers… I am sorry, but a narrow network product does not fit well for the members. We want to be able to take care of our members when they have an accident or illness. We do not have any providers or facilities outside of SD and NW Iowa, which makes us not the best fit for RVers.” While we agree that their plans are not a great fit for RVers, it seems it should be left to the members to decide if they are willing to risk traveling with their coverage. Nevertheless, it looks like RVers are not welcome to enroll with Avera Health for 2019.
You'll have plenty of options when choosing a group dental plan for your small business. Most group dental plans include free cleanings and regular checkups. As always, there is no extra cost for buying group dental insurance through eHealth instead of directly through the insurer. You'll have the flexibility to compare a wide selection of dental plans from various insurers.
Can anyone address the elephant in the room: as medical therapeutics change and biologics are available and more appropriate for various conditions it is noteworthy to realize that these costs are often not covered by many government insurers and not eligible for foundations grants (as are sometimes offered in the form of copay cards, or copay assistance). I’m talking 20% out of pocket cost for a biologic can run 1500-2000 out of pocket after insurance. If you happen to get one of these rheumatologic or immunologic diseases, Medicare is NOT going to cut it. Are people folding in these possibilities into their projected costs in retirement. How does the FIRE community think about these things (I mean the medical FIRE community…I don’t think the non-medical FIRE community is even aware of these nuances unless they’re already dealing with a chronic or rare disease under treatment).
A child may be covered by a parent’s health care plan per Affordable Care Act (ACA) regulations through age 25, regardless of whether the child is a dependent for tax purposes; however, under separate IRS regulations, a parent’s HSA funds cannot be used to reimburse for a child’s health expenses unless the child is claimed as a dependent on the parent’s tax return.