What is a cost sharing reduction (CSR)?

A cost sharing reduction (CSR) is a type of assistance provided by the Delaware health insurance law that helps reduce the out-of-pocket costs of individuals and families obtaining health insurance. With CSR, individuals and families can get help with deductibles, copayments, coinsurance, and other out-of-pocket costs associated with their health insurance plan. CSR is usually available to individuals and families who meet certain income requirements. To qualify for CSR, individuals and families must be enrolled in a health insurance plan that is sold through the health insurance marketplace and must have income levels that are between 100-400% of the Federal Poverty Level. If individuals and families qualify for CSR, they will receive a discount on their monthly health insurance premium as well as reduced cost sharing for certain health services. Additionally, for individuals and families who qualify for CSR, they pay less out-of-pocket for care when they receive care from a health care provider who is in their health plan’s network. The state of Delaware health insurance law requires insurers to offer CSR to those who qualify to ensure individuals and families can afford the health care they need.

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