Types of Insurances
Insurance Resources
Assistance Resources

Pharmacy Services

Prescription and pharmacy providers submit claims to insurance companies first. Contact the insurance provider for specific coverage information, including criteria, deductibles and copays.

Pennsylvania Medical Assistance and Health Choices have provisions for pharmacy benefits. Pharmaceutical companies also may provide assistance with some prescriptions. Contact us for more specific information about the pharmaceutical company assistance programs.

Commercial Insurance
May provide coverage. Check with your provider.

Managed Care Organizations
May provide coverage. Managed care insurance companies identify their “network” health systems; contact their representatives to discuss how that may impact reimbursement.

U.S. Veteran Benefits
May provide coverage. Check with your U.S. Veteran Benefits' representative.

Medicare
Currently does not provide coverage. Medicare + Choice (Medicare HMOs) may include some pharmacy benefits. Some all-inclusive programs, such as the Medicare Hospice Benefit and the Long-term Care Capitated Assistance Program, or inpatient programs reimbursed by insurance on a per diem, may have expanded benefits that include prescription coverage. Contact the facility or contact us with questions about prescription coverage.

Medical Assistance and Medical Assistance Health Choices
These assistance programs do provide pharmacy benefits. Contact their representatives to discuss coverage for specific drugs.