Will most HMO and PPO Insurance plans cover Tracleer™?
Yes. To our knowledge all insurance companies are covering Tracleer™ for approved indications. However, that doesn’t mean that your specific pharmacy benefit will be adequate to cover your entire cost of the medication. For example, Patient A and Patient B are both members of XYZ Insurance Co. Both patients receive essentially the same medical coverage, but they have different pharmacy coverage. Patient A has to pay only a flat “co-pay” of $50.00 every time a prescription is filled, regardless of how expensive the medication, while Patient B has to pay 20% of the prescription cost and the plan will pay the remaining 80%. With expensive medications, such as Tracleer™, Patient A has the better coverage. In this example, Tracleer™ is covered for both patients, though it is clear the coverage amount varies depending on the plan you or your employer are buying.
