Helms, Liz

Liz Helms is President and CEO of the California Chronic Care Coalition.

Discriminatory Insurer Practices Jeopardize Access to Medication

By Liz Helms

California Chronic Care Coalition

California health insurance plans are jeopardizing patient health by moving vital medications to so-called “specialty tiers,” which place the cost of treatment beyond the reach of most patients and which may be illegal under both California and federal discrimination laws.

Rather than paying a fixed copayment, Californians whose medications are placed on specialty tiers are often forced to pay coinsurance – or a percentage of the total cost of the drugs – which can mean hundreds or even thousands of dollars per month in out-of-pocket costs for a single medication.