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ObamaCare OTC: a prescription for confusion

Bandages, home health-aids and other OTC items may still be eligible QMEs. The following are examples of some of the items that may remain available without a physician’s prescription:

Artificial teeth
Band-Aids®
Birth control
Contact lens supplies and solutions
Denture adhesives
First-aid supplies
Hearing aids and batteries
Insulin and diabetic supplies
Pregnancy test kits
Wheelchairs, walkers and canes

The intended restrictions and unintended consequences of ObamaCare OTC changes are staggering:

  1. Plan members, pharmacists, and doctors will be confused by the new restrictive rules requiring a “prescription for non-prescription OTC medications.”
  2. Pharmacists and checkout clerks will not be able to over-ride the debit card processing system.
  3. Previously covered claims submitted for FSA and HRA reimbursements will be denied.
  4. IRS audits and unexpected HSA excise tax penalties will shock taxpayers.
  5. Plan members may need to go to the doctor’s office to get a prescription for an OTC medication.
  6. With new exposure to liability, doctors may need to see the patient before prescribing anything.
  7. Additional office visits and follow up visits may be generated.
  8. To avoid calls, confusion, and assure insurance coverage, physicians may begin prescribing stronger “real” prescription drugs.
  9. Drug card vendors will be changing their cards to deny coverage for OTC medications.

ObamaCare OTC is a simple example of how government control of the healthcare system will confuse and inconvenience millions of Americans.  Purchasing pain relief medication at your neighborhood pharmacy shouldn’t be complicated.  After experiencing ObamaCare, getting rid of it may be the only pain relief Americans will want.

Ronald E. Bachman FSA, MAAA, president & CEO of Healthcare Visions. He is a Senior Fellow at the Center for Health Transformation, an organization founded by former U.S. House Speaker Newt Gingrich, a Senior Fellow at the Georgia Public Policy Foundation, an independent think tank that proposes practical, market-oriented approaches to public policy to improve the lives of Georgians. He is also and a Senior Fellow at the National Center for Policy Analysis (NCPA).  To better understand health reform and the new preventive care guidelines, go to www.healthreformnavigator.net.

For more information on qualified medical expense see IRS bulletin 502 at http://www.irs.gov/pub/irs-pdf/p502.pdf

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