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Do You Know Your Drug Benefits?

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It is very important as we navigate through the new Affordable Care Act and how it affects whether we know where we’re at as individuals or insured through an employer group. Not only on our health benefits, but let’s talk about your prescription drug coverage.

Prescription drugs in America are a huge expense. Seldom do we make habit changes or adhere to our preventive scheduled screenings, but we never hesitate to take our prescription to the pharmacy. If you don’t know or understand your benefits, please be sure to call me.

A recent Client and a “small hitch” in the “plan” that caused this individual to have a need for a drug that would be used once every 5 weeks for a period of 6 months. Thank goodness he followed my request and called me first. I spoke with Wellmark and Caremark and the pharmacy. There were exceptions made, due to the drastic health situation that this individual had and I am very pleased to say that his request was approved and the pharmacy and Caremark and Wellmark have partnered and are working together so that this man can be worry free as he tries to manage his health.

The bills are over $31,000 every 5 weeks. My message is this: ignorance is bliss, but when you have an independent agent that has sought out a plan that best suits your needs and your budget and is willing to do the service work with a quality insurance carrier, things like this can be navigated and negotiated to maintain your health.

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Debbie SearsJune 23, 2014

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