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Understand How Insurance Works
Be informed guideHealth Insurance Introduction

3 Pages

Learn what health insurance covers, who provides health insurance, and the different types

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Interactive ContentWords that Matter for Health Insurance

20 minutes with audio

Understand health insurance financial and prescription drug terms with simple definitions and examples.

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Decide which plan works for you
Interactive ContentEmployer-Sponsored and Individual Insurance

15 minutes with audio

See an overview of Marketplace and Employer-Sponsored Health Insurance plans and how you can enroll in them.

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Interactive ContentTips for Picking an Employer or Marketplace Plan

15 minutes with audio

Find tips for picking a health insurance plan that may work for you including how to do the math to figure out a plan’s true cost.

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Interactive ContentMedicare, Medicaid, and Other Government Healthcare Programs

20 minutes with audio

Learn about government-sponsored health insurance including Medicare, Medicaid, and other government healthcare programs, and how to enroll in them.

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Interactive ContentTips for Picking a Medicare Plan

15 minutes with audio

Find tips for picking a Medicare plan that may work for you including how to do the math to figure out a plan’s true cost.

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Use your Insurance
Steps to Take GuideFinding In-Network Health Care Providers

1 page

See steps you can take to find in-network health care providers and whom to ask for support to help you save money.

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Be informed guideHow to Find a Clinical Trial and Understand Your Potential Out-Of-Pocket Costs

2 pages

Be informed about finding, qualifying, and understanding your potential out-of-pocket costs for a clinical trial.

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Steps to Take GuideFinding In-Network Pharmacies

1 page

See steps you can take to find in-network pharmacies and whom to ask for support to help you save money.

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Be informed guideException Requests for Prescription Drugs

1 page

Learn about exception requests, situations when they might be helpful, and tips on filing exception requests.

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Steps to Take GuideAppealing Denials of Coverage

2 page

Explore the process of appealing a denial of coverage and the steps that you can take to file an appeal when appropriate.

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Be informed guideNavigating Two Insurance Plans

1 page

Learn about navigating between two insurance plans and how they can pay for your medical care and prescription drugs.

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Conversation GuideGetting Prior Authorizations

1 page

Understand how to work with your health care team to get prior authorizations.

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Be informed guideVeterans Affairs (VA) Care Options

3 page

Learn how VA health care provides medical care and services for veterans through VA Care Locations and the Community Care Network.

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PDFGetting Prior Authorizations

1 page

Understand how to work with your health care team to get prior authorizations.

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Disclaimer: The information on this site is intended for U.S. residents only and is provided purely for educational purposes. Health, legal, regulatory, insurance, or financial related-information provided here is not comprehensive and is not intended to provide individual guidance or replace discussions with a healthcare provider, attorney, or other experts. All decisions must be made with your advisers considering your unique situation. © Triage Cancer & Pfizer Inc. 2024 

Copyright © 2024 Pfizer Inc.
All rights reserved.
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Copyright © 2024 Triage Cancer.
All rights reserved.
remove.svgremove.svg-mobileThe Inflation Reduction Act is a law that aims to lower prescription drug costs.

This law has already impacted Medicare in multiple ways, and more changes are coming in the next few years:

Changes in 2023
  • $35 copay cap on covered insulins (this applies whether the insulin is covered through Medicare Part B, C, or D)
  • $0 patient copay on covered vaccines
Changes in 2024
  • Elimination of 5% patient coinsurance after reaching the catastrophic coverage threshold. This effectively caps out-of-pocket costs at approximately $3,300 (for Part D enrollees who take only brand name drugs)​
  • Expansion of the Low-Income Subsidy program (LIS) under Medicare Part D, which could help reduce out-of-pocket costs for an estimated 400,000 individuals
Changes in 2025
  • $2,000 yearly cap on out-of-pocket prescription drug costs​
  • Medicare Prescription Payment Plan. This allows Medicare Part D out-of-pocket prescription costs to be paid in monthly payments over the course of the year, instead of all at once
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