When choosing health insurance or trying to get coverage for your prescription
medications, it is important to understand that gone are the days when your insurance
company would pay for any and all medications any time you need them. Insurers offer
a number of different products, all with different hurdles and rules that may require
that you pay more for the very medications that are best for you.
Learning what your insurance company requires and what your rights are in your
state is an important part of advocating for yourself. Listed below are state-by-state
documents that explain the details of every state's medication insurance rights
policies. Each document is set up in a question and answer format to explain types
of coverage, brand name versus generic medications, drug lists, changing or "switching"
medications on the list, costs, limitations/prior approval and appeals. The pieces
also include important contact information and sample letters to customize and use
when either protesting a medication being changed on or switched from an approved
list or appealing a coverage decision regarding a specific medication.
These documents were researched and written by attorney Astrid Meghrigian.