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Which drug formularies are covered by my plan?

Under the Affordable Care Act, health insurance companies must provide coverage for prescription drugs in all health insurance plans sold to individuals and small businesses. The specific drugs covered will differ from plan to plan. If you take a specific medication(s), you may want to ensure that those medications are included on the formulary of the plan you purchase.

To see if a specific medication is included on a plan’s formulary, you can check the health insurance company’s website or call the company’s customer service number when shopping for a plan.

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Glossary

Full Glossary

Adherence

Taking medications as prescribed or following a treatment plan as prescribed by your healthcare provider.

Affordable Care Act

The Patient Protection and Affordable Care Act (PPACA) – also known as the Affordable Care Act or ACA, and generally referred to as Obamacare – is the landmark health reform legislation passed by the 111th Congress and signed into law by President Barack Obama in March 2010. The Affordable Care Act’s main focus is on providing more Americans with access to affordable health insurance, improving the quality of healthcare and health insurance, regulating the health insurance industry, and reducing healthcare spending in the US. The law contains hundreds of different provisions that address different aspects of “the healthcare crisis” in the US.