Although the program is disparaged by critics as a «bailout,» health plans are legally obliged to offer
discounted copayments and deductibles to their lower - income customers whether they get the CSR money or not.
Not exact matches
The ACA requires health plans to offer reduced
copayments and deductibles for customers under 250 percent of the federal poverty level, and CSR subsidies compensate them for the cost of those
discounts.
Response: Calculations of drug costs,
discounts, or
copayments are payment activities if performed with respect to a specific individual and are health care operations if performed in the aggregate for a group of individuals.
Comment: Commenters asked that the definition include calculation of prescription drug costs, drug
discounts, and maximum allowable costs and
copayments.
A cost sharing reduction, sometimes called extra savings, is a
discount on deductibles,
copayments, and coinsurance.