Fairness for Medical Copayments

multiple copay legislationPennsylvania recently prohibited multiple copayments for licensed physical and occupational therapy services covered under an insured person’s health benefit plan. This is a tremendous win for patients of Good Shepherd Rehabilitation Network and other Pennsylvania providers of physical and occupational therapy.

Several of Good Shepherd’s staff members brought forth to me the struggle that some of our patients were having in paying multiple insurance copayments for a therapy visit that involved different types of therapies. The cost of those multiple copayments sometimes limited or prevented patients from receiving the amount of care that they absolutely required. According to the American Physical Therapy Association, multiple copayments for physical therapy have increasingly been cited as a reason why some patients opt to reduce the frequency of their care, or worse yet, forgo medically necessary care and risk the worsening of underlying conditions and/or increasing risk for injury.

Knowing that Pennsylvania’s population is among the oldest in the nation and that medical rehabilitation needs are growing, it was important to Good Shepherd to help therapy patients continue to access the kind and amount of care they need in order to regain their independence or their maximum functionality. Good Shepherd is proud to have supported the grassroots efforts to have this legislation passed by the General Assembly.

Without passage of the Fairness in Multiple Copayments Act, patients would continue to pay multiple insurance copayments. The new law does not eliminate copayments, but it simply prohibits burdening patients who require different and specific therapy services with copayments for each and every session.

Thank you to the members of Pennsylvania Senate and House who supported this legislation and Governor Tom Wolf for signing the Fairness in Multiple Copayments Act. Pennsylvania patients who need rehabilitation services can be assured that the financial burden of copayments is limited and that they can receive the level and frequency of care that they need to return to productive lives.

For more information on the Fairness in Multiple Copayments Act, visit the Rehabilitation & Community Providers Association website.

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