Sample DTF Scenario

Sarah went to see her doctor when she became ill. When the doctor opened her file, he noted the DTF sticker she had given him on a previous visit. He then discussed with Sarah an approach for treating her ailment. After reviewing Sarah’s DTF pocket reference guide, they discovered two suitable medications covered by her drug plan; a DTF drug that would be reimbursed at 100% and another medication that would be reimbursed at 80%. After reviewing the treatment options available under each tier, Sarah and her doctor settled on an approach that would treat her condition, while also factoring lifestyle and coverage considerations into her treatment plan.

Full Issue: No. 320 - June 3, 2008

Back to CSI Insurance Updates