Category: copayments

Court Ruling May Spur Competitive Health Plans to Bring Back Copays for Preventive Services

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’s mandate is unconstitutional.

Many Preventive Medical Services Cost Patients Nothing. Will a Texas Court Decision Change That?

A federal judge in Texas issued a decision this week that affects the Affordable Care Act. It says one way that preventive services are selected for no-cost coverage is unconstitutional.

Haunted for 13 Years by Debt From Childbirth, Then Rescued by a Nonprofit

Terri Logan, 42, Spartanburg, South Carolina Approximate Medical Debt: $1,400, now $0 Medical Issue: Premature childbirth What Happened: Two months ahead of her due date with her second daughter, Terri Logan felt weighed down by stress. She was a high school math teacher in Union City, Georgia, and was ending her relationship with the baby’s […]

KHN’s ‘What the Health?’: More Covid Complications for Congress

Congress is back in session, but covid diagnoses for Vice President Kamala Harris and two Democratic senators have temporarily left the Senate without a working majority to approve continued covid funding. Meanwhile, opponents of the Affordable Care Act have filed yet another lawsuit challenging a portion of the law, and we say goodbye to the late Sen. Orrin Hatch of Utah, who left a long legacy of health laws. Rachel Cohrs of STAT News, Anna Edney of Bloomberg News, and Rebecca Adams of KHN join KHN’s Julie Rovner to discuss these issues and more.

‘An Arm and a Leg’: Need an Expensive Drug? Here’s What You Need to Know

Even a personal finance expert can get stuck with a huge unexpected bill for a drug. Listen up for what you need to know about “copay accumulators.”

Enough to Wreck Their Rest: $10,322 for a Sleep Study

The University of Miami Health System charges a truck driver six times what Medicare would pay for an overnight test.

During ACA Open Enrollment, Picking a Plan Invites New COVID Complications

COVID-19’s “long haulers” — patients with lingering effects of the disease — have joined the ranks of Americans with preexisting conditions. For those shopping for health coverage on the individual market, here’s help navigating an uncharted insurance landscape.

‘An Arm And A Leg’: Am I Protected If I Need COVID-19 Care?

“An Arm and a Leg” is back sharing stories about the ways COVID-19 intersects with the cost of health care. To tackle a listener’s question about health coverage, Dan Weissmann spoke with one of the country’s top insurance nerds.

Trump Wrongly Said Health Insurers Will Pay For All Coronavirus Treatment

There are important distinctions between how insurance companies will cover the test and the treatment. This makes the president’s statement an exaggeration, at best.

It’s Not Just You: Picking Health Insurance Is Hard. Here’s How To Be Smart About It.

It’s open enrollment season for health insurance. And choosing the best plan is tricky whether you have to buy insurance on your own or just figure out which plan to sign up for at work. Here’s what you need to know.