consumer groups speaking out against High Out-of-Pocket Limits

consumer groups speaking out against High Out-of-Pocket Limits -

Under the Affordable Care Act (ACA), effective January 1st, health insurance plans impose a ceiling on the amount of money consumers may be required to pay for costs outside pocket such as prescription drugs and co-payments. The amount of the ceiling is estimated at $ 6,250 for an individual policyholder. However, consumer groups want the Americans to know that the date of application of this provision of the ACA was delayed a year.

According to a Kaiser Health News, the Obama administration granted this one year extension because some employer health plans offered have "distinct or managers benefits policies for different parts of their cover, such as medical care and medicines, and sometimes a third for dental services for children. Some employer plans have out-of-pocket caps separated for each of the coverage areas. "Insurers and employers need more time to understand how they will make adjustments to their plans to merge these caps, and ultimately comply with the health reform law.

Some groups of consumers say all this is rubbish, citing that the technology exists to make it easier for health insurance companies to comply. patient advocates from more than 40 groups, including the American Cancer Action Network Society and the National Council of the collective health wrote a letter to the administration, referring to the huge importance of limits out of pocket to ensure that Americans have quality coverage that will not cause financial ruin in case a medical condition. consumer groups have asked the government to review the policy expressed in 2014 to keep in line with the original intent of the affordable care Act.

Tweet