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Measure Would Cap Insured Out-of-Pocket Cost of Insulin at $35

InterWest Insurance Services

House of Representatives has passed legislation that would cap the out-of-pocket cost of insulin at $35 a month for people with group or private health insurance. While the measure still has to face a vote in the Senate, it has broad backing after the cost of insulin has skyrocketed in recent years. How it would work.

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Understanding the Pre-Deductible Telehealth Coverage Extension

Benefit Resource Inc.

The 2023 spending bill signed into law on December 29th includes extending pre-deductible telehealth services coverage. WHAT IS PRE-DEDUCTIBLE TELEHEALTH COVERAGE? Pre-deductible telehealth coverage allows HSAs-qualifying high-deductible health plans (HDHPs) to cover telehealth and remote-care services on a pre-deductible basis.

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Budgeting and Prepping for Open Enrollment

InterWest Insurance Services

Going out of network is discouraged with high out-of-pocket costs. Preferred provider organizations – PPOs contract with hospital and provider networks to help control costs. While they will cover services outside of the network, the cost is higher than going in-network.

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Budgeting and Prepping for Open Enrollment

InterWest Insurance Services

Going out of network is discouraged with high out-of-pocket costs. Preferred provider organizations – PPOs contract with hospital and provider networks to help control costs. While they will cover services outside of the network, the cost is higher than going in-network.

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Insulin Makers Cap Prices for Insured Individuals

InterWest Insurance Services

The changes mean some or many of your employees will see significant reductions in their pharmaceutical outlays, particularly if they have high copays or deductibles. The moves come after the Inflation Reduction Act, signed into law in 2022, capped out-of-pocket insulin costs for seniors on Medicare at $35 per month.

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Employers Expect Higher Premiums, Little to No Cost-Shifting

InterWest Insurance Services

this year and at a faster clip in 2024 as inflation hits medical costs. ” Whether to pass on higher costs Besides the 64% of employers who said they would boost their benefits in 2024, 28% said they would not but have done so in the past two years. copay plan).

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Employers Prioritizing Enhanced Benefits in New Year, Not Cost-Cutting

InterWest Insurance Services

With Americans increasingly struggling to pay their health care bills, more employers are shying away from only offering their workers high-deductible health plans (HDHPs) that reduce premiums up front for higher out-of-pocket costs for workers. The expected health insurance cost growth of 5.4% Cost-cutting.