Defines cost sharing and limits cost-sharing requirements for health plans in South Carolina.
This bill amends the South Carolina Code to define terms related to cost sharing and to include references to the federal Internal Revenue Code for purposes of cost sharing. It specifies that the annual limitation on cost sharing applies to all healthcare services covered under any health plan offered or issued by an insurer in the state. It also mandates that when calculating an enrollee's contribution to any applicable cost-sharing requirement, an insurer or third-party administrator must include any cost-sharing amounts paid by the enrollee or on behalf of the enrollee by another person.
Included in complete analysis
- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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