When Employees Ask "What Plan Should I Choose?"

Will I Get Punished for Not Having Insurance?

In this video, we walk through how health insurance providers handle pharmacy coverage and the importance of using in-network pharmacies:

  • While you technically have the option to go to any pharmacy, your health insurance provider may or may not cover the cost based on whether it's an in-network or out-of-network pharmacy.

  • Health plans differ in terms of which medications they cover and which pharmacies are considered "in-network."

  • Staying in-network typically results in cost discounts due to the provider's contract with the pharmacy, whereas going out of network may lead to paying the full price for your medication.

  • Many insurance companies offer search tools on their websites to help you check if a pharmacy is in-network or out-of-network, similar to how you can verify the network status of a doctor or healthcare provider. It's recommended to visit your insurance company's website or contact them directly to determine whether the pharmacy you wish to use is in-network with your plan and to explore in-network options near you.

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