Copay accumulator ban11/7/2023 ![]() ![]() ![]() The only catch is that there are now other programs in place that seem to negate any of the benefits that the assistance programs provide. Assistance is often provided by charities, nonprofits, or drug manufacturers, and is designed to offset the cost of treatments and medications. Prescription medications can be super expensive so, it’s a good thing that there are assistance programs available to help patients cover some of the costs. Will you join us in writing an email Governor Polis? Click here to make your voice heard! Be sure to customize the sample letter (your unique story is much more likely to get their attention than a form letter!).Close Please login to bookmark Please loginn No Coloradan should face barriers to life-saving medication because of misleading insurance policies that make their medicine more expensive than it should be. All we need in Colorado now is the Governor’s signature. When someone cannot afford their medication, they are more likely to abandon their treatment altogether, which can led to even worse health outcomes.Ĭolorado has just become the 18th state to pass legislation banning insurance policies that prevent critical financial assistance from counting toward a patient’s out-of-pocket costs. These misleading policies harm Coloradans in many ways. Six in 10 patients and caregivers say they would have extreme difficulty affording their treatments and medications without copay assistance programs being applied to their out-of-pocket costs. Insurance companies have stopped counting third-party financial assistance towards a patient’s deductible and out-of-pocket maximum, making it much harder for patients to afford their medicine and stick to a treatment plan. Jared Polis to ask for his signature and explain why legislation is important to you and your community.Īs the chronic disease community knows well, many patients rely on third-party financial assistance to pay for their high-cost medications or cover their out-of-pocket costs before reaching their deductibles. Great news! SB23-195 has passed the legislature with strong bipartisan support from both chambers! We need your help to contact Gov. UPDATE - from the Chronic Care Collaborative on Friday, May 5, 2023: Click here to make your voice heard, and please be sure to customize the sample letter (your unique story is much more likely to get their attention than a form letter). If you are a Colorado resident, we invite you to join the MS Center and other advocates for chronic disease care in supporting this legislation by writing an email to your State Senator. Additionally, insurance companies often use complicated or confusing language when describing these adjustment accumulators, which can make it difficult for consumers to recognize them in their insurance plans.įortunately, a bill currently in the Colorado State Legislature (SB23-195) would ensure patients receive the full benefit of co-pay assistance programs by requiring all payments made by or on behalf of an insured to count towards their out-of-pocket cost-sharing requirements. ![]() (original post) - Many insurance companies have recently begun implementing “Co-Pay Accumulator Adjustment Programs,” which prevent third-party financial assistance, such as patient assistance programs, from applying to a patient’s insurance deductible or other out-of-pocket costs.Īs a result, these accumulator adjustment programs increase out-of-pocket costs for patients and make it difficult for individuals with high deductibles or chronic diseases to follow treatment plans. And thank YOU for making your voice heard in support of this bill and sharing your story with legislators! The new law will go into effect on January 1, 2025. Thanks to the Chronic Care Collaborative for their advocacy. Thank you to the prime sponsors of this legislation, Sen. Colorado has now become the 18th state to protect patient assistance to help ensure patients can access and afford medications that they need. This bill ensures patients receive the full benefit of co-pay assistance programs by requiring all payments made by or on behalf of an insured person to count towards their out-of-pocket maximum or deductible. UPDATED JUNE 15, 2023: The Copay Accumulator bill (SB-195) to protect co-pay assistance for patients passed the Colorado State Legislature and has now been signed by Governor Polis. King Adult Day Enrichment Program (KADEP). ![]()
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