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Drugmakers provide financial assistance to help patients afford increasingly expensive medications. But some insurers do not count those payments toward a plan鈥檚 deductible or out-of-pocket maximum and make patients pay instead.
Deductible. Copay. Out-of-pocket limit. What do these health insurance terms actually mean? We explain common phrases from insurance policies so navigating your plan is less of a headache.
Diagnosed with an autoimmune disorder, a California man was prescribed a drug that costs thousands of dollars a month. He said he was reassured that the drugmaker鈥檚 copay card would cover his share, but after two months, the card was empty.
The erosion of the Affordable Care Act has created an insurance cliff for Americans who are turning 26 and don鈥檛 have a job that provides medical coverage. Scared off by high price tags and the complexity of picking a policy, some young adults are going without insurance.
Young adults without jobs that provide insurance find their options are limited and expensive. The problem is about to get worse.
It鈥檚 a difficult rite of passage for young adults without job-based insurance. Here are some tips for getting started.
Spending cuts hitting medical providers, Medicaid and Affordable Care Act enrollees, and lawfully present immigrants are just some of the biggest changes the GOP has in store for health care 鈥 with ramifications that could touch all Americans.
GOP-controlled House committees approved parts of President Donald Trump鈥檚 鈥渙ne big, beautiful bill鈥 this week, including more than $700 billion in cuts to health programs over the next decade 鈥 mostly from Medicaid, which covers people with low incomes or disabilities. Meanwhile, Health and Human Services Secretary Robert F. Kennedy Jr. testified before Congress for the first time since taking office and told lawmakers that Americans shouldn鈥檛 take medical advice from him. Julie Appleby of 黑料吃瓜网 News, Alice Miranda Ollstein of Politico, and Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico Magazine join 黑料吃瓜网 News鈥 Julie Rovner to discuss these stories and more.
Minnesota led the way on insulin affordability, culminating in 2020 when Gov. Tim Walz signed a law going further to cut costs than other state laws. Now, former President Donald Trump and Vice President Kamala Harris are vying for support from people with diabetes.
Drugmakers offer copay assistance programs to patients, but insurers are tapping into those funds, not counting the amounts toward patient deductibles. That leads to unexpected charges. But the practice is under growing scrutiny.
More than 16 million Americans who buy their own health insurance through state and federal marketplaces have until Jan. 15 to compare prices, change their coverage, or enroll for the first time.
Company health clinics are most common at large workplaces, but some small employers say they see advantages, too: healthier workers, lower costs, and better access to primary care.
黑料吃瓜网 News and California Healthline staff made the rounds on national and local media this week to discuss their stories. Here鈥檚 a collection of their appearances.
Doctors say billing for email consultations reduces message volume and gives them more free time. The increasingly prevalent practice has also raised fears about negative impacts to patient care.
A U.S. District Court ruling overturned the section of the Affordable Care Act that makes preventive health services 鈥 from colonoscopies to diabetes screenings and more 鈥 available at no cost to consumers.
Colorado鈥檚 proposed legislation to cap the copay for the EpiPen is part of a nationwide trend as more states try to shield patients from skyrocketing drug prices.
Twitter has been a hotbed for the burgeoning insulin access movement and activism surrounding other medical conditions. For people with diabetes, the platform has helped propel concern about insulin prices into policy. Can it continue to win with hashtags?
KHN gives readers a chance to comment on a recent batch of stories.
Another effort to make upfront cost comparisons possible in an industry known for its opaqueness: an online tool for consumers to get some idea of what they may pay for medical care.
The Affordable Care Act required that health insurers provide many medical screenings and prevention services at no out-of-pocket cost to health plan members. But insurers and employers may consider adding cost sharing for preventive services now that a federal court ruled the ACA鈥檚 mandate is unconstitutional.
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