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5 Tips to Managing Your Insurance Coverage

March 26, 2013 By: Nadia Category: HealthCare, Medicine Advice, Medtipster, Prescription News, Prescription Savings

Don’t use providers that aren’t in your network. Most plans have lowered how much they will pay for doctors or facilities not in your network, while some won’t pay for out-of-network providers at all.

Review how prescriptions are reimbursed under your coverage. Many plans are now offering reimbursement based on a percentage of the retail cost of a drug, which can add up quickly. If you pay a percentage instead of a co-pay, compare prices at different pharmacies.

Prepare for a doctor visit ahead of time if you anticipate a prescription, diagnosis or treatment plan. You should have your benefits summary with you as well as your drug formulary to know how much you’ll pay for a prescription before you leave the office. You can also pull up prices at local facilities on your tablet or phone at www.medtipster.com to discuss choices with your doctor.

Read your benefits summary carefully to know what’s in your plan, and what isn’t.

Shop for the lowest priced facility for diagnostic tests. Hospital-based services are often priced higher than independent facilities.

 

Five Largest PBMs

September 26, 2011 By: Nadia Category: HealthCare, Medtipster, Prescription News

www.Medtipster.com Source: Mallory Gillikin, 9/20/2011, www.BusinessInsurance.com

Business Insurance released its ranking of the nation’s largest pharmacy benefit managers. 

  1. Medco - Franklin Lakes, N.J.-based firm reported $66 billion in unbundled PBM revenues in 2010, a 10.4% increase from 2009
  2. CVS Caremark Corp.  – Woonsocket, R.I.-based firm retained the No. 2 position in the 2011 ranking, reporting $47.8 billion in unbundled PBM revenues in 2010, a 6.4% decrease from 2009.
  3. Express Scripts Inc. – Reporting nearly $45 billion in unbundled PBM revenues in 2010, St. Louis-based  firm remained in the No. 3 position in this year’s Business Insurance ranking. Express Scripts, which acquired WellPoint Inc.’s NextRx subsidiaries in December 2009, reported an 81.7% increase in unbundled PBM revenues in 2010.
  4.  Prescription Solutions Inc. - Irvine, Calif.-based firm and
  5. Catalyst Rx - Rockville, M.D.-based firm rounded out the top five largest PBMs.

To view the full ranking or to purchase copies of the 2011 Directory of Largest Pharmacy Benefit Managers, go to www.BusinessInsurance.com/directories.

Uninsured Numbers Rising!

October 06, 2009 By: Nadia Category: Medtipster, Prescription News

Nádia - your personal pharmacy cost adviser

Nádia - your personal pharmacy cost adviser

The number of uninsured nationwide rose to 46.3 million in 2008, up 1.3% from 45.7 million the prior year, with 15.4% of the total population uninsured, according to the U.S. Census Bureau.

Our goal is to provide a road map for the 15.4% that have no insurance. Medtipster.com is the best way to find medications at the right price. Whether it’s CVS Pharmacy, Kroger Pharmacy, Target Pharmacy, Kmart Pharmacy, Meijers Pharmacy, Walmart Pharmacy, Rite-Aid, Spartan Pharmacy, etc… The choice is yours! Medtipster offers the information, you do the rest.

Find your nearest Pharmacy by using medtipster.com

To Use or Not to Use Prescription Insurance

June 02, 2009 By: PharmaSueAnn Category: Medtipster, Prescription Savings

Did you know that you can use your Insurance Card and the discount drug programs at the same time? Your insurance company needs all your prescription information; it is for your safety.

Always ask the pharmacy to send the prescription to your insurance company. You will receive the best price.

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