The All Copays Count Coalition comprises more than 80 national 501c3 non-profit, non-partisan patient advocacy and provider organizations representing millions of people living with serious, complex, chronic illness. The people we represent need full and ongoing access to medical care, including specialty medications, to treat their conditions and to keep them healthy. They rely on health insurance to protect them from high out-of-pocket costs and ensure they can get the care they need. Insurers are using new schemes to pocket support intended to help patients. We are working to ensure that all copayments made by or on behalf of a patient count toward their deductible and out-of-pocket limit – and that patients can access the medications they need.

TAI Report: Copay Accumulator Adjustment Programs:

  • The newest report from The AIDS Institute (February 7, 2023) reveals that copay accumulator adjustment policies are ubiquitous in the ACA marketplace plans in 2023. The full report provides in depth information about how these policies harm people living with HIV and others with serious chronic conditions and what the landscape is in 2023.
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The AIDS Institute 2023 Report: 

  • The most recent report from the AIDS Institute reveals that copay accumulator adjustment policies are ubiquitous in the ACA marketplace plans in 2023.
  • How do copay accumulator adjustment policies harm vulnerable patients?
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Correcting the Record on Copay Assistance and Accumulator Adjustment Policies PDF Download
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Listed below are some additional organizations advocating for the ban on accumulator adjustment programs 

The Arthritis Foundation

The National Hemophilia Foundation

Crohns and Colitis Foundation

Coalition of State Rheumatology Organizations