Minnesota SF4848 establishes requirements for calculating enrollees' contributions to cost-sharing and out-of-pocket maximums in health insurance.

Minnesota SF4848 sets rules for how health plans and pharmacy benefit managers calculate enrollees' contributions to cost-sharing and out-of-pocket maximums. The bill defines "cost-sharing" as co-pays, coinsurance, and deductibles. It mandates that any payments made by an enrollee or on their behalf after meeting the deductible be included in these calculations. This applies to prescription drugs covered by the health plan, regardless of whether they fall under a medical or pharmacy benefit.

Minnesota SF4848 establishes requirements for calculating enrollees' contributions to cost-sharing and out-of-pocket maximums in health insurance.

Minnesota SF4848 sets rules for how health plans and pharmacy benefit managers calculate enrollees' contributions to cost-sharing and out-of-pocket maximums. The bill defines "cost-sharing" as co-pays, coinsurance, and deductibles. It mandates that any payments made by an enrollee or on their behalf after meeting the deductible be included in these calculations. This applies to prescription drugs covered by the health plan, regardless of whether they fall under a medical or pharmacy benefit.