Quiz: 15 Health Insurance Questions With Answers You May Not Expect

Question 9 of 15

For anyone who takes a medication every month, the drug list can matter more than the deductible. “Covered” is where the checking starts.

You search a plan’s drug list and find your medication on it. What does that tell you?

Correct. Not quite. A drug list places each medication in a tier. Lower tiers usually carry a flat copay. Higher and specialty tiers often carry coinsurance, a percentage of the price, sometimes only after the deductible is met. Codes next to the drug show extra requirements: PA for prior authorization, ST for step therapy, QL for quantity limits. Check the tier and the codes for every medication you take before choosing the plan.

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