Start by asking when your PBM contract was last audited, how quickly claims get processed, whether your specialty carve-out actually works the way it was sold, and whether your stop-loss terms still match your plan. Vague or missing answers usually point to where the gap is.
How do I know which vendor in my stack is the problem?
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About the Author: Ohio Health Benefits Team
Ohio Health Benefits is a locally-owned independent insurance broker serving Ohio from offices in Tallmadge, Canton, and Hiram. We have a reputation for personal attention, flexibility, dependability, and integrity. As a broker, we carefully select both national and Ohio-based insurance companies to provide you with the insurance policies that are the best fit for your unique situation and budget.
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