Consumers need easy to access information to help them make the right coverage choice
How does Senate Bill No. 24 address this issue?
Senate Bill No. 24 requires insurers to make certain information publicly available to consumers as they compare and purchase plans. Making information more accessible allows consumers to evaluate the following information as they select coverage that is right for them:
- Drug formularies
- Specific dollar amounts of co-pays or percentage of coinsurance
- Clinical prerequisites or authorization requirements for coverage of a given prescription drug
- Whether a specific drug is on a formulary and its applicable cost sharing
- A description of how drugs will be included/excluded from the deductible, including potential out-of-pocket costs that would not count toward the deductible
What does all of this really mean?
When consumers are reviewing and comparing plans, it is necessary that they have access to all of the information that they need to purchase a health plan that meets the needs of their family. Without information about what medicines are covered, how much they cost, or how the amount they pay applies to the overall deductible, consumers are unable to make the best possible decisions about their health coverage.
What is our take?
YourHealthCT supports giving consumers enhanced access to information about their plans in a clear and understandable way. When a consumer understands their options, they are able to make more informed decisions about their health care coverage. By purchasing a plan that meets their unique health and financial needs, consumers are able to plan ahead, avoid unexpected costs, and better maintain their health.