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    Health insurance exchange state rankings: 9 top performers



    Montana: For Nondiscrimination

    Like Washington, Montana stands out in the nondiscrimination metric. It requires insurers to offer at least one silver, gold, and platinum exchange plan that uses copayments (rather than coinsurance) and that does not subject any drugs to the deductible, including the specialty tier, according to the report.

    "While federal rules set minimum requirements for consumer protections, some states have emerged as leaders in implementing patient-centered standards and reforms," says Boutin.  "Montana (a federally-facilitated exchange) established a requirement that issuers offer at least one silver, gold, and platinum plan that uses copayments (rather than coinsurance) and subjects all drugs, including those in the specialty tier, to the deductible."

    Montana is an average-performing state when it comes to oversight and uniformity, and is a low performing state for continuity of care and transparency.



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