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New Rules Expand Services Covered with No Cost-Sharing

InterWest Insurance Services

The Department of Health and Human Services has issued some new “frequently asked questions” for its Affordable Care Act pages, and new guidelines that require health plans to expand what they are required to cover with no cost-sharing.

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What is an HDHP?

WEX Inc.

This means that you’ll have to pay a significant amount out-of-pocket for healthcare services before your insurance coverage kicks in. HDHPs have limits for allowable deductible amounts and out-of-pocket costs. For legal or tax advice, you should consult your own legal counsel, tax and investment advisers.

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Smallest Firms See Largest Health Insurance Hikes

InterWest Insurance Services

Some employers have gravitated towards HDHPs to reduce their and their employees’ overall premium spend, but these plans come at a cost: more out-of-pocket costs for workers.

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FSA eligible expenses — what purchases count?

Business Management Daily

Limited Purpose FSA: An FSA that covers out-of-pocket costs for dental and vision care, but not standard medical care. Lactation supplies such as breast pumps and lactation consulting. The annual dependent care FSA contribution limit is $5,000. Menstrual supplies such as pads, tampons, cups, and liners.

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8 Ways Employers and Employees Can Save On Prescription Medications

Griffin Benefits

And while consumers seem to have a love/hate relationship with HDHPs, many of those who take the time to fully calculate the total out-of-pocket cost of medical coverage and care realize that HDHPs, even with higher deductibles, can often save them money. Over-the-Counter Drugs (OTC).

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3 Ways to Strengthen Cost Management for Pharmaceutical Benefits

Griffin Benefits

Reducing the number of drugs on a formulary is only part of increasing pharmacy cost savings: it needs to be tracked, with adjustments made to market conditions. Creating an additional tier for specialty drugs — or even for biologics and biosimilars alone — can start to help control costs.

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Health Expenses a Major Source of Mental Health Issues for U.S. Workers

InterWest Insurance Services

The report on the study by the health care consulting company Centivo urges employers to consider new ways to reduce the medical financial burden some of their employees may be experiencing. It stressed two main points: High deductibles — The report found one of the main drivers of stress was high deductibles and other out-of-pocket costs.