Federal government Quote by Kathleen Sebelius
“The way the law is written, people who are under 250 percent of poverty, who have a marketplace plan, also are eligible to have some of their deductible and co-pay expenses paid through cost-sharing. Insurance companies basically front the money and are reimbursed by the federal government, by HHS.”
About This Quote
Source Speech: Remarks on Health Policy, U.S. Department of Health and Human Services, 2010
The law allows low‑income individuals with marketplace plans to have deductibles and co‑pays covered, with insurers fronting costs and being reimbursed by the government.
In simple terms: Poor people can get help paying medical costs via cost‑sharing.
Key Takeaway
Use available assistance to reduce out‑of‑pocket expenses.
Themes
healthcare
poverty
policy
insurance
government
cost‑sharing
Mood
concerned
practical
Type
policy
informative
When to use this quote
- low‑income families
- individual marketplace enrollees
- policy makers
- healthcare providers
Key Concepts
affordability
risk pooling
public‑private partnership
Questions to Reflect On
- How does cost‑sharing affect patient behavior?
- What safeguards ensure funds reach intended recipients?
A Different Perspective
Implementation can be complex and may create administrative burdens.
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