A bill proposed in California could prohibit health insurance companies to patients pay a percentage of costs on prescription drugs that are "special relationship". generally drugs which reach the special levels are very expensive and used for cancer, arthritis, HIV, AIDS, lupus, multiple sclerosis and others.
Patients usually have a share when buying prescriptions, but some plans have co-insurance rates for specialty drugs. Co-prescription insurance plans require consumers to pay a percentage of the drug instead of a flat rate. Depending on the cost of the drug, it can be really expensive for consumers.
To fight against the problem, the California Legislature is considering capping the amount consumers pay for prescriptions to $ 150 per drug and also eliminating the practice of having consumers pay a percentage for drugs. But The Daily Breeze reports that it will transfer $ 220 million to other consumers of insurance.
Nicholas Louizos of the California Association of Health Plans said, "artificially cap cost sharing and eliminating co-insurance on very expensive drugs ... does not address the underlying costs and do is not free. Instead, premiums will increase or drug benefits will change. "
Patients using specialty drugs account for 33 percent of Medicare costs, which will then move to other consumers of California if the bill is adopted.
opponents of the proposed legislative bill require California to wait until 2014 when any reform of health care provisions are implemented; however, many consumer advocates do not want to wait
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