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Payment & Insurance

What is a drug formulary list?

A drug formulary list is used by insurance companies to identify prescription drugs, both generic and brand name, that offer the greatest overall value. Drug formulary lists are broken into three tiers: Tier 1: Usually includes generic medications and has a low to $0 copay. Tier 2: Usually includes…

What is a prior authorization?

Certain medications may need approval from your health insurance carrier before they’re covered. For example: Medications that may be unsafe when combined with other medications. Medications that have lower-cost, equally effective alternatives available. Medications that are often used for cosmetic purposes. If it is discovered that prior authorization is required…

What happens if my prescription request doesn’t get approved – will I get a refund for my consultation fee?

If you receive a medical consultation (meaning your online health assessment is reviewed by our medical team), we do not offer refunds for the consultation even if we can’t approve your request for a prescription or home test kit. If you did not receive a medical consultation please…

Can I use credits to cover the consultation fee?

The consultation fee will not be covered by credits.

Do all patients have to pay a consultation fee?

Yes, as with a  visit to a doctor’s office all patients pay for a medical consultation with our services. This includes your initial consultation as well as unlimited messaging with our medical team for the length of your prescription, during which you can request prescription changes or ask…

Can I submit the medical consult fee to be reimbursed by my FSA or HSA?

It depends on the specifics of your insurance plan and your FSA or HSA. If you require more information than is contained on the receipt you have already been provided for your prescription or service, please contact our customer service team and we will assist you. If you would like…

What if I am told that your pharmacy is not in my network and I have to go to a specific pharmacy to pick up my medication?

We are here to provide you with a more convenient method of delivering your medication to you. If your choice is to have us deliver the medication to you, you can pay “out of pocket” and then request reimbursement from your Insurance company. Alternatively, we can send the remainder of…

What do I do if my medication is a non-covered item on my insurance plan?

We will notify you through our messaging system, and you can work with our provider to find a medication that is covered. We suggest calling your insurance first to see what is covered so that the provider knows what medications are options for you. Alternatively, to avoid any delay in…

What do I do when my benefit cap is exceeded?

Many insurance plans require you to contact them directly. At your request and to avoid any delay in taking your medication, we can process your order as “out of pocket” and you can request reimbursement directly.

How does yearly deduction for my prescription plan work with co-pay?

Some insurance plans require you to pay certain yearly deductibles at the beginning of the year. The plan will automatically calculate your deduction, and then add it to your copay until the full amount of your deduction is met. Once your deductible is met, your co-pay will be adjusted to…

How much does an online consultation cost?

An online consultation with a Nurx provider is $15. This includes unlimited messaging with our medical team about your prescription or home test kit, until renewal (if applicable). The online consultation fee is the same for all healthcare services that Nurx offers, which include birth control, emergency contraception,…

Is the consultation fee the same for all of your health care services?

Yes, the online consultation is $15 at this time for all medical services that Nurx offers, which today includes birth control, emergency contraception, PrEP, genital herpes treatment, oral herpes treatment and home testing for HPV and STIs. This includes unlimited messaging with our…

Is the consultation covered by my health insurance provider?

We do not submit claims for the medical consultation to health insurance at this time. However, we make available one of the most affordable consultations compared to other digital healthcare companies and the fee is less than most co-pays in a doctor’s office or clinic setting. Please note, we do not…

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