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The Daily Advocate: Cutting out-of-pockets costs

State Representatives Susan Manchester (R-Waynesfield) and Thomas West (D-Canton) recently unveiled House Bill 469, which will cut out-of-pocket prescription costs for patients.

Patients with chronic, complex conditions such as multiple sclerosis and hemophilia rely on copay assistance programs through drug manufacturers, charities, and churches to help cover the costs of their prescription drugs. Recently, many major health insurance providers have implemented discriminatory policies that no longer allow the payments made through copay assistance programs to count toward a patient’s deductible.

Patients whose health insurance providers use these copay accumulator policies are often blindsided by the discriminatory policies and end up owing thousands of dollars because of unmet deductibles. Additionally, insurers get paid twice for the same medications, meaning they pocket the assistance payment, as well as any copays paid by the patient during the deductible phase.

Read more on the Daily Advocate.