Certainly interesting stuff here - any plan in the Exchange has to offer the same tiered services: basic, enhanced, and premium. You can't offer enhanced w/o basic, premium w/o enhanced, etc. There is also a premium plus program which includes dental and vision.
The idea of cost-sharing is still muddled (for me). In some places, it seems like a copay. In others it seems like a % of the insurance cost that the feds pick up.
The insurance companies which operate in the Exchange can only do so after contracting with the HCA. They must follow the guidelines set forth, most are mildly intrusive except for the following which are overly intrusive -
- The entity shall provide for implementation of the affordability credits provided for enrollees under subtitle C, including the reduction in cost-sharing under section 244(c) - whatever that means...
- must provide enrollment for everybody
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