Physical therapists (PTs) hoping for a little more light to be shed on the details of health plans available through state health insurance marketplaces can take heart: the Department of Health and Human Services (HHS) may have just what they need.
Recently HHS launched a new website with state-by-state charts that include copayment and other benefit information for the health plans available in states that did not set up their own exchanges. Many providers had complained about inadequacy of earlier information from HHS.
The site lists the plans for each state alphabetically. Scrolling to the right of the list reveals copayments next to each plan and plan level. This data is only for plans offered in the marketplaces and could take time to extract, but it does represent an improvement over previous information.
APTA reminder: for current patients or for those awaiting evaluation, it's always best to verify an enrollee’s benefit with the payer.
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