Chattanooga Times Free Press

Feds to require health plans that are understand­able

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WASHINGTON — Obama administra­tion officials announced Thursday that starting later this year private health plans will have to provide consumers with a user-friendly summary of what’s covered, along with key cost details such as copays and deductible­s.

Just six pages long. No fine print.

And because the summaries will use a single standard format, it will allow “apples to apples” comparison­s among health plans that aren’t possible now. That will help working spouses trying to pick between employer plans, as well as people who buy coverage directly from an insurance company.

“If an insurance plan offers substandar­d coverage in some area, they won’t be able to hide it in dozens of pages of text,” said Medicare chief Marilyn Tavenner, who also oversees implementa­tion of President Barack Obama’s health care law.

Insurers and business groups were unhappy, calling it another costly new regulation under the overhaul. Consumer groups said the new summaries won’t be perfect, but called them a strong start. Employees should start seeing them during open enrollment season this fall.

One shortcomin­g is that the summaries won’t include premiums. Administra­tion officials said they ran into logistical problems trying to do that, and that premiums should be easily available anyway, either from their employer or directly from a health plan. Part of the problem with listing premiums is that insurers can currently charge more for the exact coverage to people in poor health.

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