A simple guide to know about copays.

in #article7 years ago

As we all know, medications and prescription drugs are expensive and sometimes hard to get. That’s why you have to be aware on what are you paying for when visiting the doctor. Most of the time, whenever you go to the hospital the secretary might have told you that you have to pay something called Copay. For those who still don’t know what that means, it is quite simple.

Copay

The main definition of copay is that is a fixed amount for a covered service that you have to pay to the insurance company so they can give you complete care service. If this confused you, let’s put it this way: If you have to go to the doctor because you have to use a medicine regularly, let’s say, for your asthma, and you want to use your care service plan, you’d have to pay for a certain amount of money that your insurance doesn’t cover.

This differs from a deductible in the fact that you pay first for the deductible since it is often a much higher amount of money than the copay. You have to know what the prescription copay is, for you’d have to pay this before any policy benefit is payable by an insurance company. Also, the prescription copays may vary from other services included in the plan. Sounds quite terrible, isn’t it?

Be careful

You must be warned: not all of the insurances tell you the truth. Sometimes when you choose a plan which covers the most out of the care services, the broker might not tell you the cost of the prescription copay, so you have to ask beforehand so you don’t have to pass through the bad moment when they charge you by some amount of money you don’t have. So yes, you might want to pick the most complete health plan in the market, but be aware that once you have to use it, you’ll have to pay.

Choose the plan according to your needs.

This means that before making a bad choice, you have to think. If you consider yourself as an organized person, perhaps you’d already made something like a schedule so you know when you will need to go to get your medicine and you have your prescription copay safe and sound under your mattress. That way, you’ll be more calmed and things might be easier. Of course, if you have an emergency that is something you can’t prevent, but most of the time if you take care of yourself. It all depends on how often you have to go the doctor and how regularly do you need your prescriptions. If the case is that you have to visit your pharmacy often, you have to check for plans with lower copays.

Prescription drugs

According to research, some insurance companies set the copayments higher for non-generic drugs than for generic drugs. As you may know, generic drugs are medicines created to act as good as brand-name drugs since its components, dosage and safety are the same, so it would be better for your wallet if you take a generic drug rather than a non-generic drug. Sometimes, however, pharmaceutic companies reduce the cost of non-generic drugs so the insurance companies change its range on the plan to generic so it becomes easier to acquire for the patients due to copayment purposes. One of the most renowned cases of this happening was with simvastatin.

In some occasions it might be that the pharmacies offer some drug coupons with the purpose of facilitating the patients to pay for the prescription. That kind of promos are temporary, since they have to be sure that the patients really need these meds or just doing some risky businesses.

Web Pages

There are some websites dedicated to find every copay card available in the market so both patients and healthcare professionals are provided with a source to locate every discount and (or) financial assistance programs to get brand-name prescriptions. This is quite helpful to people who were indicated when they visited the doctor not to take generic drugs for it may cause some side effects. It’s not like every generic drug is bad for our health, but sometimes it happens when it’s mandatory to buy for brand-name drugs since their reactions are faster.

Prescription copays’ effects.

Medication copays are associated with a progressive diminution of necessary medications for chronic conditions such as heart failure, asthma, etc. Every time copayments got higher, even less people could afford to buy the prescriptions. However, there are some types of control within these healthcare plan services so they don’t overcharge patients with costs they cannot pay. However, some prescription drugs are not under this control due to its demand, causing a frequent discontinuation of use.

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