copay maximizers

We write regarding enforcement of North Carolina’s state law that requires insurers to count copay assistance from drug manufacturers towards beneficiaries’ cost-sharing obligations. As detailed in the letter, Mr. Frank Marino has an Ambetter plan that, contrary to state law, is not counting his copay assistance towards his deductible. According to him, the NC Insurance Department has interpreted the law in a contrary manner. As noted in the letter, United Healthcare also has language in their plan policy documents stating that copay assistance does not count. We are asking you to review these matters and fully enforce the law. Additionally, we would very much like to meet with you at your earliest convenience.