Get to know your Marketplace health plan

Published on February 9, 2023

What prescriptions are covered by my plan?

• Your plan will help pay the cost of certain prescriptions.
• Your plan’s list of covered drugs is called a "formulary."
• Visit your plan’s website, call their Member Services, or review your
  Summary of Benefits and Coverage

  An easy-to-read summary that lets you make apples-to-apples comparisons of costs and coverage between health plans. You can compare options based on price, benefits, and other features that may be important to you. You'll get the "Summary of Benefits and Coverage" (SBC) when you shop for coverage on your own or through your job, renew or change coverage, or request an SBC from the health insurance company.

  Refer to glossary for more details.

  for a list of covered drugs.

How can I find a doctor in my plan? 

• Most plans give you the best price on services when you go to an
  "in-network"

  The facilities, providers and suppliers your health insurer or plan has contracted with to provide health care services.

  Refer to glossary for more details.

  health care provider who has a contract with the plan.
• You may be able to visit doctors who aren’t in your plan’s network, but you may pay more.
• Learn how to find a doctor in your plan's network.

How do I use my coverage?

• Learn how to stay healthy and get the care you need (PDF, 698 KB). You’ll find tips on where to go for care, how to find a provider, and more.
• Get more information about using your Marketplace coverage, like filling prescriptions and getting regular and urgent care.