Insurance Deductibles Don ' t Work Well for Patients with Chronic Illnesses. Some strategies for PWD ' s With HDHP ' s to Consider.

The U.S. IRS defines a High-Deductible Health Plan (HDHP) as a health plan with an annual deductible that is not less than $1,500 for self-only coverage or $3,000 for family coverage, and for which the annual out-of-pocket expenses (deductibles, co-payments, and other amounts). About half of all Americans with employer-sponsored healthcare insurance plans have deductibles to satisfy before the insurance covers much although some employers provide Health Reimbursement Accounts (HRAs) to help offset the deductible. That said, the IRS has also ruled that an HDHP can cover certain types of " preventive " care without a deductible, or with a deductible that is less than the annual deductible applicable to all other services, which is why the 2019 IRS decision to add care for a number of chronic medical conditions including diabetes to the list of " preventive " care benefits that may be provided by HDHP ' s was a big deal (catch my coverage of that athttps://blog.sstrumello.com/2019/09/in-2020-people-with-diabetes-may-wish.html). While HDHP ' s can now cover insulin and test strips and a growing number actually do, many health plans still exclude CGMs since those were not explicitly named by IRS.Consider the cost of CGM sensors. One reliable source to determine the actual cost of a CGM sensor is the Costco Member Prescription Programhttps://www.costco.com/cmpp which provides cash prices for some CGM sensors and other prescriptions Costco Pharmacy carries. Costco reports the c...
Source: Scott's Web Log - Category: Endocrinology Tags: 2023 Ascensia CGM E3 Eversense HDHP Senseonics Source Type: blogs