As the year comes to an end, a crucial compliance deadline looms for employers with health plans. Under the Consolidated Appropriations Act (CAA), health plans and insurance issuers must submit a Gag Clause Compliance Attestation by December 31, 2024. Since its enactment in 2020, this regulation prohibits health plans from including gag clauses—provisions that limit…
Medical expense accounts can help you save on all kinds of healthcare costs. Here are some you may not know about yet. HSA, FSA, and HRA can typically be used for: Expenses that might be covered, but check your plan: Important Considerations: Additional Tips: By understanding the nuances of HSAs, FSAs, and HRAs, you can…
In today’s world of complex health insurance options, High Deductible Health Plans (HDHPs) have become increasingly popular. But with a name like “high deductible,” it’s natural to have questions. Let’s break down the basics of HDHPs: What is an HDHP? An HDHP is a health insurance plan with a higher deductible than traditional plans. This…
Insurance Costs Consumers typically pay the following types of costs when they have insurance. See Appendix A for examples of how cost sharing works. Tips to Know: Appendix A Examples of Health Insurance Cost Sharing This appendix provides some examples of how health insurance cost sharing works for consumers. These examples show different outcomes depending…
Does a Health Plan Typically Pay for Services from Any Doctor? Not always. Some types of plans encourage or require consumers to get care from a specific set of doctors, hospitals, pharmacies, and other medical service providers who have entered into contracts with the plan to provide items and services at a negotiated rate. The…