I’m a college student with diabetes. Will health insurance coverage pay for my medication?

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Asked July 30, 2012

1 Answer


As a college student with diabetes, your health insurance coverage may cover the cost of your medication, but it depends on the specific terms of your policy. Most health insurance plans cover prescription medications, but the amount of coverage may vary depending on the plan and the type of medication you need. Here are some factors to consider when it comes to health insurance coverage for diabetes medication:

  • Type of insurance: The type of insurance you have may impact your coverage for diabetes medication. If you have private insurance through your parents or through your college, you may have more comprehensive coverage than if you have insurance through a public program like Medicaid.
  • Plan details: The details of your insurance plan will also impact your coverage. Check your policy documents or speak with your insurance provider to understand what is covered under your plan, including the type of medications covered and any limitations on coverage.
  • Formulary: Your insurance plan may have a formulary, which is a list of prescription medications that are covered under the plan. If your medication is not on the formulary, you may need to pay for it out of pocket or ask your doctor to prescribe a different medication that is covered by your plan.
  • Deductibles and copayments: You may be responsible for paying a deductible or copayment for your medication, depending on your insurance plan. Be sure to check your policy details to understand how much you will be responsible for paying out of pocket.
  • Prior authorization: Some insurance plans may require prior authorization before covering certain medications. This means that your doctor will need to submit additional information to your insurance provider to demonstrate that the medication is medically necessary.
Overall, it's important to review your health insurance coverage carefully and understand your options for accessing diabetes medication. Speak with your insurance provider or a licensed insurance agent if you have questions or need assistance in navigating your coverage options. Additionally, you may want to consult with your doctor or a diabetes educator to identify strategies for managing your diabetes that may help reduce the need for medication.

Answered July 30, 2012 by Anonymous

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