Ace the AHIP Challenge 2025 – Turbocharge Your Medicare Smarts!

Question: 1 / 400

What should Ms. Edwards consider when filling her prescriptions at non-network pharmacies?

There will be no additional costs compared to in-network pharmacies.

The cost will likely be higher than at in-network pharmacies.

When Ms. Edwards fills her prescriptions at non-network pharmacies, she should be aware that the cost will likely be higher than at in-network pharmacies. This is because health plans that have a network of pharmacies typically negotiate lower prices with those pharmacies, which means that when a beneficiary opts for a non-network pharmacy, they often lose out on those negotiated rates. As a result, individuals may have to pay a higher share of the total cost when using non-network services.

In addition, many health insurance plans might have specific co-payments or coinsurance rates for services received from non-network providers, which tend to be less favorable than those for in-network providers. This financial aspect is crucial for Ms. Edwards to consider as it directly affects her out-of-pocket expenses for medications.

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Non-network pharmacies will not fill her prescriptions.

She cannot fill prescriptions unless in-network.

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