Cost Sharing Reduction
President Trump recently announced that the Federal Government will no longer fund the Cost Sharing Reductions (CSRs) program.
The federal action will not impact the coverage of any current Highmark member. If you’re currently enrolled in a Highmark plan that applies Cost Sharing Reductions (CSRs) to your coverage, those reductions will continue. If you currently receive Advance Premium Tax Credits (APTC) to help lower your monthly premium, you will not see a change in your costs in 2017.
Below are the facts:
There are two types of financial help under the Affordable Care Act (ACA):
- Advance Premium Tax Credits (APTC), lowers what you pay each month for your premium on any Marketplace metal-level plan. This is not impacted by the recent federal announcement about government CSR payments.
- Cost-Sharing Reductions (CSRs) lower out-of-pocket costs that you are required to pay at the time you receive covered services such as doctor visits, lab tests, prescriptions drugs, and other medical services. For enrollees in PA, DE, and WV, this will not be impacted by the recent federal announcement.
The recent federal actions regarding CSR payments will not impact your 2017 Highmark plan benefits or monthly premiums.
Highmark will continue offering plans in 2018 with Cost Sharing Reductions (CSR) and Advance Premium Tax Credits (APTC).