Reimbursement for prescription drugs and services in a third-party prescription drug plan typically follows one of two approaches: a reimbursement approach or a service approach. One true statement about these approaches is that:
A) Payments under the reimbursement method typically are not subject to any copayment or deductible requirements
B) Payments under the reimbursement approach are typically based on a structured reimbursement schedule rather than on usual, customary, and reasonable (UCR) charges
C) Most major medical plans follow a service approach
D) Most current health plan prescription drug plans are service plans

Question

Quizplus · Accepted Answer

Most current health plan prescription drug plans are service plans, where the plan pays the pharmacy directly for the covered drugs, and the patient typically pays a copayment or coinsurance at the point of sale.

Reimbursement for Prescription Drugs and Services in a Third-Party Prescription