According to American health insurance news this week, insurance companies are increasingly starting to charge those policyholders on the most expensive drugs a percent share of their medications . Standard copayment , it appears, has gone out of the window.
This type of medical insurance cost has only started to appear in the last five years. Known as Tier 4 payments, they require some cancer, arthritis, MS and hep C patients to pay between 20-33% of the total cost of their drugs. This Tier 4 payment systems can cost patients thousands of dollars a month.
The practice was brought to light in the New York Times, who say that drugmakers are charging too much for their products. Insurance companies defend their policies, saying that Tier 4 means that they can keep premiums down for other members.
Senator Obama lent his weight to protest against the payments, calling them ‘troubling’ on several fronts.




