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Indykatie

(3,868 posts)

16. HIPAA is Not Issue in Discussion if No Patient Info Involved

Reply to Humanist_Activist (Original post)

Sun Oct 5, 2014, 06:49 PM

Oct 2014

and you have not provided enough info to determine if this is BS that ACA should have addressed or something else at play. i.e. type of policy. It's rare to find Rx maximums in Employer plans but it could happen.

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Well this is a load of bullshit, just had someone exceed benefit maximum for prescription coverage.. [View all] Humanist_Activist Oct 2014 OP

when you say "benefits maximum", what do you mean? unblock Oct 2014 #1

They won't pay for any prescriptions for the rest of the year. Humanist_Activist Oct 2014 #3

Well, it could depend on the particular drug itself. Liberal Veteran Oct 2014 #2

I'm keeping things general, but this is NOT a drug you can stop taking, outside of some... Humanist_Activist Oct 2014 #4

looks like there are a few loopholes for the annual limits (though not on the ban on lifetime caps): unblock Oct 2014 #5

Were those loopholes part of the ACA or were they created by HHS after the fact? Wella Oct 2014 #8

at least some are in the aca -- unblock Oct 2014 #11

Then it will take an act of Congress--impossible now Wella Oct 2014 #12

Is it related to the Medicare drug benefit debacle? etherealtruth Oct 2014 #6

Most of the ACA regulations cover plans on the exchanges jeff47 Oct 2014 #7

I'm suspecting this is close to the truth, it is an employer plan... Humanist_Activist Oct 2014 #9

That explains it - jazzimov Oct 2014 #13

Sorry about this. I just posted this: Beware of Shifting Options Within Medicare Plans. elleng Oct 2014 #10

That is an excellent article, BTW. femmocrat Oct 2014 #14

Is it actually a ACA eligible plan? 99Forever Oct 2014 #15

HIPAA is Not Issue in Discussion if No Patient Info Involved Indykatie Oct 2014 #16