Federal rule would put consumers on the hook for greater share of drug copays
Drug coupons that help patients cover the cost of their copay for a drug will no longer count toward their deductible.
By Michelle Andrews, Kaiser Health News|April 20, 2020 at 09:26 AM
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Patients who get financial help from drug companies to cover their copayments for prescription drugs could owe a bigger chunk of their costs under a proposed federal rule.
The annual rule, which sets a wide range of standards regarding benefits and payments for most health plans for next year, would allow employers and insurers to decide that drug companies’ assistance doesn’t count toward their members’ deductible or out-of-pocket maximum spending limits. Only payments made by patients themselves would factor into those calculations.
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