If the price ends in .99 or there is no insurance listed at the top, what should you confirm with the patient?

If the price ends in .99 or there is no insurance listed at the top, what should you confirm with the patient?

• A. Whether they have a rewards card
• B. Whether they hold a different insurance policy
• C. Whether they want to switch to a different drug
• D. Whether they have insurance

Answer: (D)

Confirming whether the patient has prescription insurance is the key step. When you see a price that ends in .99 or no insurance listed, you need to ask the patient if they have coverage for this prescription. This lets you pull up their plan and verify the correct copay or coverage, since the displayed price may not reflect what the insurance would pay. If they have insurance, collect the needed details and confirm the accurate amount with the plan. If they don’t have insurance or prefer not to use it, you can offer the cash price or any available savings. The goal is to determine the patient’s actual coverage to bill correctly and avoid surprises at checkout.

Confirming whether the patient has prescription insurance is the key step. When you see a price that ends in .99 or no insurance listed, you need to ask the patient if they have coverage for this prescription. This lets you pull up their plan and verify the correct copay or coverage, since the displayed price may not reflect what the insurance would pay. If they have insurance, collect the needed details and confirm the accurate amount with the plan. If they don’t have insurance or prefer not to use it, you can offer the cash price or any available savings. The goal is to determine the patient’s actual coverage to bill correctly and avoid surprises at checkout.