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Health Team

Tutorial: How to use health coverage to see doctors, fill prescriptions

Posted February 26, 2014

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— Now that you've enrolled in a health plan under the Affordable Care Act and have an insurance card, you can use your coverage to fill a prescription at the pharmacy and go see a physician.

To find out which prescription medicines are covered through your marketplace plan, you can visit your insurer's website to review a list or call your insurer directly. The phone number is on your insurance card and on the company's website.

You probably received a packet of information in the mail about your new plan. Make sure to read through those materials.

It's also a good idea to call your insurer or visit the website to find out if your regular pharmacy is "in-network" under the new plan and, if not, what nearby pharmacies are considered "in-network."

You might also want to ask whether you can get your prescription delivered to you in the mail.

To find a doctor or to learn if your doctor is covered under your health plan, you can check the provider directory on the insurer's website or call the insurer to ask about specific providers. You also can call the doctor's office to ask whether they accept a specific plan, or call the Marketplace Call Center at 800-318-2596, where a trained representative can help find your insurer's number.

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