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43 Matching News Items

1.  HealthPocket Link to more items from this source
Feb. 27, 2014
"With the release of the new Affordable Care Act health plans, HealthPocket examined what medical services were most frequently excluded from health insurance coverage in 2014 and compared the results to the most common exclusions in the pre-reform health insurance market."
2.  HealthPocket Link to more items from this source
Jan. 8, 2014
"The [ACA] contains a stipulation that caps the deductibles on small group health plans. For individual enrollees, the maximum deductible was limited to $2,000 while for families the maximum deductible was limited to $4,000.... For individual enrollees in SHOP marketplace plans, HealthPocket found: 96.43% of Bronze plans had deductibles over the $2,000 cap; 28.10% of Silver plans had deductibles over the $2,000 cap; [and] 6.48% of Gold plans had deductibles over the $2,000 cap."
3.  HealthPocket Link to more items from this source
Aug. 3, 2013
"In the current individual and family health insurance market, coverage of medical services is not standardized and a variety of important services, ranging in expense and medical necessity, are not included within the benefits of most insurance plans. HealthPocket examined 11,365 health plans in the individual and family market to determine which medical services were most likely to be excluded from coverage."
4.  HealthPocket Link to more items from this source
Dec. 31, 2019
"41% reported that they had at one point not been able to afford a medical bill. 30% currently had a medical bill they could not pay.... 11% had either filed or considered filing for bankruptcy to get out from under their medical debt.... 51% of those surveyed said that at some point in their life, they had avoided seeking medical care due to their lack of ability to pay."
5.  HealthPocket Link to more items from this source
Dec. 19, 2019
"89% have some form of health insurance ... 54% reported [that] at some point in their lives, [they did not have] health insurance, and 47% had received help from their parents in paying for medical bills.... 79% said they would search for what ails them before visiting a doctor's office.... 63% thought that they should be able to text their doctor directly.... 45% said they would use telemedicine before visiting a doctor."
6.  HealthPocket Link to more items from this source
Oct. 26, 2016
"[This] analysis provides a detailed overview of market conditions facing consumers who have neither premium subsidies nor subsidies for healthcare out-of-pocket costs."
7.  HealthPocket Link to more items from this source
Dec. 7, 2015
"Cost-sharing for expensive specialty drugs ... evidenced more consistent changes from 2014 to 2016. The average copayment costs increased dramatically, ranging from 16% to 71% depending on the health plan category. Coinsurance fees ... increased for three-out-of-four health plan categories examined. Only silver plans had the same average coinsurance fee for specialty drugs in 2014 as they did in 2016. Increases for the other three plan categories averaged from 7% to 20%."
8.  HealthPocket Link to more items from this source
Nov. 17, 2015
"Across the states using healthcare.gov, 59 percent of 2016 ACA plans do not have out-of-network coverage, except when the enrollee has a medical emergency or obtains prior authorization from the plan before receiving out-of-network healthcare. In three states (New Jersey, New Mexico, and South Dakota), every 2016 ACA plan lacks out-of-network coverage."
9.  HealthPocket Link to more items from this source
Nov. 2, 2015
"The rate of increase in average deductible for silver plans was more modest than bronze plans. The average 2016 deductible for an individual is 6% higher than what was observed for 2015 while the average family deductible rose by 8% in 2016."
10.  HealthPocket Link to more items from this source
Oct. 7, 2015
"Overall, 52.6 percent of Obamacare plans on Healthcare.gov had out-of-network coverage, leaving nearly half of plans without easily accessible out-of-network coverage.... The percentage of Obamacare marketplace plans offering out-of-network coverage in each state ranged from 0 percent in South Dakota to 100 percent in Alaska, Alabama, Louisiana, Tennessee, and West Virginia.... In 13 states, less than half of plans offered out-of-network coverage."
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