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AIDS advocates say drug coverage in some marketplace plans is inadequate

Publié par Clifford Armion le 12/10/2013

Ariana Eunjung Cha

The nation’s new health-care law says insurers can’t turn anyone away, even people who are sick. But some companies, patient advocates say, have found a way to discourage the chronically ill from enrolling in their plans: offer drug coverage too skimpy for those with expensive conditions.
Some plans sold on the online insurance exchanges, for instance, don’t cover key medications for HIV, or they require patients to pay as much as 50 percent of the cost per prescription in co-insurance — sometimes more than $1,000 a month.
“The fear is that they are putting discriminatory plan designs into place to try to deter certain people from enrolling by not covering the medications they need, or putting policies in place that make them jump through hoops to get care,” said John Peller, vice president of policy for the AIDS Foundation of Chicago.
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"AIDS advocates say drug coverage in some marketplace plans is inadequate", La Clé des Langues [en ligne], Lyon, ENS de LYON/DGESCO (ISSN 2107-7029), octobre 2013. Consulté le 27/07/2021. URL: http://cle.ens-lyon.fr/anglais/archives/archives-revue-de-presse/aids-advocates-say-drug-coverage-in-some-marketplace-plans-is-inadequate