The proposed rule, among other policies, would amend the federal definition of STLDI Such non-comprehensive coverage can be particularly harmful to low-income individuals and individuals with significant health care needs, as they would face the greatest health and financial consequences from inadequate insurance coverage. As a result, individuals may unknowingly end up in plans that do not cover essential benefits like prescription drugs, exclude coverage for pre-existing conditions, or impose annual or lifetime dollar limits on services. These types of plans are not subject to many of the Affordable Care Act’s (ACA) critical consumer protections, which consumers might not STLDI and fixed indemnity insurance sometimes include benefit limitations, and are sold by employing dubious marketing practices, that render such coverage as nothing more than junk. Today, HHS and the Departments of Labor and the Treasury issued proposed rules to empower and protect consumers through changes aimed at distinguishing short-term, limited-duration insurance (STLDI) and fixed indemnity insurance (plans that pay a pre- determined fixed amount for a health-related event, regardless of expenses incurred) from comprehensive coverage. * Totals include Medicare Part D enrollees residing in territories or areas outside the United States, who are not shown separately. Number of Enrollees with Out-of-Pocket SavingsĪverage Savings per Enrollee with Savings Projected Impact of Inflation Reduction Act Medicare Part D Redesign for Enrollees Expected to Have Out-Of-Pocket Savings in 2025, by State Medicare Part D Enrollee Out-Of-Pocket Savings Today’s report also includes state-by-state projected savings for Medicare enrollees in 20. Once all of the provisions modeled in this report are in effect in 2025, they collectively will result in about a $7.4 billion reduction in annual out-of-pocket spending.
Among this population, the report finds nearly 1.9 million enrollees are projected to save at least $1,000 in 2025. According to a new Office of the Assistant Secretary for Planning and Evaluation (ASPE), report, the law’s changes to the Medicare Part D program may reduce out-of-pocket spending by nearly $400 for more than 18.7 million enrollees when the provisions are implemented in 2025, or about one in three people with Medicare Part D. HHS released research today on lower out-of-pocket costs resulting from President Biden’s lower cost prescription drug law, which is already saving some seniors and people with disabilities hundreds of dollars annually. We will continue to clarify consumer rights under the No Surprises Act, work to better understand the impact of medical debt, and limit non-comprehensive junk insurance plans.” CMS is committed to a more transparent, fair, and accountable health system for the people we serve. “No one should go bankrupt trying to get and keep themself or their family healthy. “The Biden-Harris Administration’s efforts to make health care more affordable are life-Ĭhanging for millions of Americans,” said Centers for Medicare & Medicaid Services (CMS) Administrator Chiquita Brooks-LaSure. “The Biden-Harris Administration is committed to helping seniors and people with disabilities save money on the medications they need and ensuring hardworking families have insurance when they need it.” Today’s announcement protects patients from junk health insurance and unfair billing practices, and increases transparency in our health care system, while continuing to implement President Biden’s historic prescription drug law that is lowering costs for millions of seniors across the country,” said HHS “The Biden-Harris Administration continues to take action to lower costs for millions of Americans and improve health outcomes across the nation. The report follows last week’s actions advancing historic provisions in the law that allow Medicare to negotiate prescription drug prices and cap the cost of each Medicare-covered insulin pump at $35 per month. These actions build on the Biden-Harris Administration’s effort to eliminate hidden fees in every sector of the economy and lower health care costs for American seniors and families.Ĭoinciding with the actions taken today, HHS also released a new report projecting that nearly 19 million seniors will save approximately $400 per year on prescription drug costs when the $2,000 out-of-pocket prescription drug spending cap from the Inflation Reduction Act – President Biden’s historic lower cost prescription drug law – goes into effect in 2025. Department of Health and Human Services (HHS), announced actions to protect consumers from junk health plans, surprise medical bills, and excess costs that lead to medical debt.
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