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What are reimbursable out-of-pocket costs?

PeopleKeep

With the cost of health insurance coverage on the rise and consumers seeing their once low deductibles grow sky high, many Americans have been forced to pay more for their healthcare without the help of insurance. These costs that aren’t covered by insurance companies are called “out-of-pocketcosts.

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Four High Deductible Health Plan Mistakes to Avoid

InterWest Insurance Services

With more than half of all private sector employees enrolled in high-deductible health plans , it’s important that employers have in place certain protocols to ensure that they are a success. That’s why training is essential to ensure that your employees understand how these plans work and how to get the most out of them.

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What to do if your zero-deductible health plan goes away

PeopleKeep

One of the biggest factors is how high your out-of-pocket costs will be. One option that appeals to many employers is the zero-deductible health plan because it means the insurance company will start accepting claims from the very beginning. There’s no need for employees first to meet a specific dollar amount.

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Waiving HDHP Deductibles Has Little Effect on Premiums, Study Says

InterWest Insurance Services

Employers who offer health savings account-eligible high-deductible health plans (HDHPs) to employees can significantly expand pre-deductible coverage for certain drugs used to manage chronic conditions — with only a tiny effect on premiums. no deductible and no coinsurance), the net impact on premiums was an increase of 4.7%.

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IRS Loosens Preventive Care Coverage Rules

InterWest Insurance Services

New guidance issued by the IRS expands the types of preventive care benefits that high-deductible health plans are required to cover with no out-of-pocket costs on the part of plan enrollees. The changes are aimed at reducing out-of-pocket costs for diabetes-related expenses, certain cancer screenings and contraceptives.

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Health Plans Covering Fewer Drugs, Imposing More Restrictions

InterWest Insurance Services

It’s also important that they understand how much of a certain drug their health plan will cover and what their estimated out-of-pocket costs will be, so that they can budget accordingly. These formularies also dictate copays and coinsurance — the patient’s out-of-pocket costs for each drug.

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HDHP Enrollees Less Satisfied with Their Health Plans

InterWest Insurance Services

A new study has found that people enrolled in traditional PPOs and HMOs are more satisfied with their plans than those who are enrolled in high-deductible health plans. The sticker shock that comes with paying for those deductibles is likely partly responsible for those feelings. If enrolled three or more years, 55% were satisfied.