If you were eligible for and enrolled in Medicaid as part of the “Families First Coronavirus Response Act” (FFCRA), you may soon receive–or have already received– notification of a discontinuation of coverage. Ark Insurance is here to help you understand those changes and make sure that you and your family will continue to receive healthcare coverage.
Congress passed legislation during the COVID-19 pandemic to guarantee that people would have access to health insurance and other benefits while the nation was in a state of public health emergency (PHE). This provided continuous coverage for those enrolled in the Children’s Health Insurance Program (CHIP) and Medicaid, even if their eligibility changed. Continuous Medicaid coverage will end on March 31, 2023, and individuals who have received Medicaid coverage will go through state-run procedures to reevaluate their eligibility. It is known as “Medicaid Unwinding” to describe this procedure. Who is affected by the upcoming “Medicaid Unwinding”? It is anticipated that 15 million people will lose their Medicaid coverage as states continue to review the eligibility of Medicaid members, including about 8 million who are deemed ineligible and about 7 million due to administrative churn. Approximately 2.7 million of these people will be eligible for employer-sponsored health plans.
If you’ve received a notice that your Medicaid coverage will be discontinued, be sure to reach out to Ark Insurance Solutions right away. At Ark Insurance Solutions, we’ll help you find affordable health insurance plans to make sure you stay covered.Navigating the complex world of health insurance can be daunting. The Ark Insurance Solutions team has the skill and experience to guide you. We’ll help you compare health plans to make the best decision based on your unique circumstances and budget. Give us a call at 801-901-7800 or click here to schedule an appointment with us.
Today at the Utah State Capitol, Ark Founder and CEO Rebecca Yates testified before the Utah Senate Business and Labor Committee about the negative impacts of copay accumulator adjustment policies. These policies can lead to skyrocketing medical bills, and in some cases, patients not being able to afford needed medication. The use of these policies often result in copay assistance provided by non-profits and pharmaceutical companies not counting towards a patient’s deductible or out-of-pocket-maximum.
In her testimony, Yates told the Senate Committee:
“Section 1557 in the ACA describes that you are not allowed by benefit design to discriminate on the basis of disability. You’ve heard today (in previous testimony) that this does directly discriminate against people that are disabled. It is discouraging their treatments and therefore is against ACA Law. It is also not in compliance with the actual federal register release which is what they’re using to implement it. Under 45 CFR 156.130, it actually does say that they are not allowed to implement a copay accumulator if there is not a generic available. You’ve heard testimony today that there are not generics available for this. They are already in violation of federal law in multiple ways, and we need to stop it at the state level.”
Sen. Curt Bramble, R-Provo, is the chief sponsor of S.B. 184 – Prescription Cost Amendments, which would require an insurer to calculate any amounts paid on behalf of an individual towards the individual’s cost sharing requirement, and would require a pharmacy benefit manager to calculate any amounts paid on behalf of an individual towards the individual’s cost sharing requirement.
The Senate Committee gave the bill a favorable recommendation by unanimous vote today. The bill will now proceed to the full Senate.
Last Friday, January 20th, Ark Founder and CEO Rebecca Yates met with lawmakers and concerned Utah parents at the Utah State Capitol to address the affordability of life-saving medications for chronically ill patients. At issue is the rising use of copay accumulator adjustment policies by insurance companies, which results in co-pay assistance provided by non-profits and pharmaceutical companies not counting towards a patient’s deductible or out-of-pocket-maximum. This leads to skyrocketing medical bills, and in some cases, patients not being able to afford needed medication.
Along with the Utah All Copays Count Coalition, Yates met with Sen. Curt Bramble, R-Provo, who will sponsor a bill this session eliminating copay assistance adjustment policies. Read more here.
Once the bill has been assigned a number, we encourage all concerned Utahns to voice support for it. More details coming soon…