Would you appreciate the stability of having the same health insurance plan for up to three years? Do you want coverage for preventive care, office visits and prescriptions but need a more affordable option than what has been available up to this point?

There have been some exciting developments in the past year when it comes to private health insurance plans. Insurance companies continue to offer low-cost health plans that cover only the Essentials – injuries, illnesses, and sickness – but the loosening of restrictions has helped matters. Insurers have responded by offering benefits, calling these new plans Enhanced.

How, exactly, are they enhanced? Insurers now have plans that offer:

  • More copay benefits.
  • Greater preventive care benefits.
  • Tiered prescription benefits.
  • Guaranteed renewal for up to 3 years instead of 1.

*Enhanced plans are not available in all states.

**Enhanced plans are being offered by Golden Rule (United Healthcare PPO) and National General (Aetna & Cigna PPOs).

Call the Rhoads Insurance Agency today to learn more.

New Prescription Product

Prescription medications can be expensive. But until now, the Rhoads Insurance Agency has been unable to offer anything for individuals and families. Now we have a solution. We recently contracted with the IHC Group to be able to offer the RxPay Advance Drug Card.

 

Why Haven’t We Had Options Before?

Prescriptions are an uninsurable risk, except for older consumers who are much more likely to need prescriptions as a demographic. For the rest of us, we only want protection from high prescription costs when we’re sick. So most of us would choose not to have prescription coverage.

The insurance companies would lose too much money, unless everyone got it and not just the sick.

There are exceptions, such as when the government forces companies to include prescription benefits. This is the case for the ACA Marketplace. Another exception is for Group insurance, when everyone at a company is required to join the plan whether they need it or not.

 

Most Private Plans offer only Discounts

Discount plans usually don’t work. We’ve tried a lot out and have been underwhelmed. The best situation you’ll be able to find are plans that reimburse you a fixed amount, for up to 12 pharmacy visits per year. Those benefits help, but there are many cases where the reimbursement amount is miniscule compared to the cost of, say, a specialty brand name drug.

 

How does this RxPay Plan work?

No prescription plan has to cover all medications. Instead, each plan establishes a formulary – a list of medications that are covered under the plan. Formularies are established with input from doctors, pharmacists, and administrators.

The Advance Drug Card focuses on generic and other low cost brand name drugs. This program is designed to help you find drugs within the same therapeutic class as a drug you may currently be taking. Most of all, this program is designed to save you money on your prescription drug costs.

Tiers indicate retail pharmacy pricing and position. Drug quantities listed must be adhered to in order to receive tier pricing at participating retail network pharmacies.

 

Contact Us for More Details

Want to get a quote and enroll in the RxPay Advance Drug Card? Set an appointment with us here:

Request a Free Quote

Prescriptions are one of the most expensive parts of your health insurance. Usually, you need to take your medicine daily, or at least on a schedule. And they can be expensive – so regardless of whether your prescriptions are expensive, choosing a health insurance plan that covers prescriptions at all will make that insurance plan a lot more expensive.

There’s a solution for that. Be aware of what your prescriptions cost with and without insurance, and compare the prices for those medicines at various pharmacies near you.

Ok, we get it. That’s a lot of work and you’re a busy person. You don’t have time to drive around to 10 pharmacies and ask each pharmacist how much your medicine will cost with and without insurance. Not to mention, the pharmacist might think you’re crazy.

 

Work with an Agent

You might not be used to shopping for the best health deal, but a licensed health insurance agent is. A good agent will know how to use tools like GoodRx.com. He or she will be able to run a detailed analysis. See how much your prescriptions would cost you if you switch coverages. Together, you could get a picture of what your monthly out-of-pocket costs could be and get a realistic comparision of insurance plans.

 

Make a Prescription List

You can help an agent shop for you. Start by creating a list of names, formulations, dosages, and quantity needed per month for all of your medications. We have clients who keep theirs on the fridge at home. Make it easy to get to this list if you collapse and first-responders need such information.

Share that list with your agent – before you purchase health insurance.

If there are changes – and there will be as you age – let your agent know, at least when you speak for your annual review, if not before.

 

Save on Out-of-Pocket Expenses

Don’t assume that all plans include pharmacy benefits. We see it from time to time with new clients who assumed that – they end up being shocked at the difference in prices and how much more they have to pay. Be aware that your medications are a cost and that they will not always be low.