BC Advantage - 2020 Issue 5

Everything You Need to Know About Co-Pay Accumulators

Since last year, CMS has proposed rules that would limit or eliminate the practice of applying the value of discount coupons for brand-name pharmaceuticals to patients' insurance deductibles. Now CMS appears to be moving forward with the controversial policy, which it says is intended to lower the overall cost of medications. Insurance companies support the idea. But many advocacy groups believe that it will present financial obstacles for patients, ultimately compromising quality care.New 2021 RulesAs CMS reviewed its rules for 2021, it said that insurers on the ACA exchange can decide for themselves whether or not to apply...

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