Ensuring that Insurance Benefits Members

A staggering 49% of patients with commercial insurance are still paying the full list price for medicine, even in cases when their payer receives a discounted price. This leaves insured patients to decide whether life-saving medications and their personal health are worth the financial impact. This troubling state of affairs has led PhRMA to put for their solutions to improve medicine affordability.

One of their points is to, “Cover more medicines from day one. Insurers are increasingly requiring people to pay high deductibles before receiving coverage of their medicines. This can cause patients to ration or never fill their prescriptions, which can result in devastating consequences to their health and higher overall health care costs. Policymakers can immediately help patients by requiring that some medicines, such as those used to treat certain chronic conditions, be covered by insurance from day one – without being subject to a deductible.”

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(Source: PhRMA, December 8^th, 2021)