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Insurance companies now required to offer fixed copayment plans in Illinois under Harris law

Insurance coverage corporations can be required to supply working households a flat-dollar copay plan for drug-related advantages due to a legislation sponsored by State Senator Napoleon Harris, III (D-Harvey).

“A set out-of-pocket quantity can be higher for these households who’ve smaller budgets and want consistency,” Harris stated. “I strongly imagine this can be helpful for our working households in Illinois, as it can give them the choice to finances their medical bills extra simply.”

Presently, most medical health insurance plans have a construction for prescription drug copayments primarily based on graduated tiers. For the very best ranges of medication, usually referred to as specialty care medication, these plans normally use coinsurance – requiring sufferers to pay a share of the drug’s value – reasonably than a copay.

This legislation would require at the least 10% of particular person plans and one group plan to supply flat out-of-pocket funds by Jan. 1, 2023, and at the least 25% of particular person plans and two group plans to supply that profit by Jan. 1, 2024.

Home Invoice 1745 was signed by the governor and can be efficient Jan. 1, 2023.


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