Navigating your health insurance policy can be tricky. Here are some common questions and answers about your coverage.
How do I locate a doctor that will take my insurance?
- Most insurance websites will have a provider directory.
- Contact the health care provider to find out if they are accepting new patients.
- Look online to see if you can find any reviews for the provider you are considering.
How do I get my prescriptions?
- Your insurer’s website should have a list of prescriptions covered by your plan.
- Check your Summary of Benefits and Coverage if there is not a list published online.
- Call your insurer directly if you have any other coverage questions.
- Some health plans may require you to get your medicine from an “in-network pharmacy.”
- You may also be eligible to have your prescriptions delivered by mail.
What do I do in an emergency?
- If it is a true medical emergency, go straight to the hospital! Insurance companies can’t require prior approval before emergency treatment, even if it is outside your plan’s network.
- For medical issues that need immediate care, but are not necessarily life-threatening, you may have access to care centers that can see you as a walk-in patient even if it is after normal office hours.
- Any treatment may be subject to a deductible that you must pay, but your insurance provider can’t require you to pay more for emergency care from an out-of-network hospital.
Call 911 or go straight to the nearest hospital in case of a medical emergency!
What preventative health services do I have access to?
- Most health plans will cover preventative medicine such as immunizations and screenings at little or no cost to you.
- It is important that you utilize a network provider for these services if you would like them covered.