Fact sheets on every state were compiled by Avalere Health, a leading advisory company focused on healthcare business strategy and public policy.
The key facts for each state includes information on: deductibles, cost sharing and formulary analysis.
State oversight can help ensure that health insurance exchange coverage offers the access to needed medicines the Affordable Care Act promised. States can continue to protect patients in their state through the following actions:
- Enforcing non-discrimination requirements, which apply to benefit design and provider networks;
- Establishing stronger rules regarding exceptions and appeals processes, which help enrollees get the medicines and care their doctors recommend; and
- Enhancing the state’s marketplace website or advocating for a Healthcare.gov page that allows for easier plan comparisons, including searchable formularies and estimates of total out-of-pocket costs.