Nevada, for example, requires that severe mental illness be covered, but co-insurance or co-payments can be as much as 150% of the out-of-pocket expenses for medical or surgical benefits.
While the House of Representatives approved legislation in November creating a co-insurance mechanism to reduce insurers' aggregate losses, the Senate failed to get its bill off the floor.
Two more numbers to pay attention to are your deductible, or the amount you have to pay before your benefits kick in, and your co-insurance , or the percentage of physician's fees you're responsible for.
To suggest that removing cost-sharing arrangements like co-insurance , exclusions, and deductibles that provide cost control to employers is short sighted and, in reality, removes any cost containment in the plan.
This gives employees a set annual spending limit with a dramatically increased list of redeemable expenses, and no co-insurance , exclusions, or deductibles.