New health plans will need to include these services without cost sharing for insurance policies with plan years beginning on or after August 1, 2012. The rules governing coverage of preventive services which allow plans to use reasonable medical management to help define the nature of the covered service apply to women’s preventive services. Plans will retain the flexibility to control costs and promote efficient delivery of care by, for example, continuing to charge cost-sharing for branded drugs if a generic version is available and is just as effective and safe for the patient to use.
For more information on the HHS guidelines for expanding women’s preventive services, please visit:http://www.healthcare.gov/news/factsheets/womensprevention08012011a.html. The guidelines can be found at:www.hrsa.gov/womensguidelines/.
To learn more about the Affordable Care Act, please visit www.healthcare.gov.
-The Shoppe
Good news.. does it mean that the health insurance will cover new preventive treatments?
ReplyDeleteShalom!
ReplyDeleteAll private major medical plans of coverage that are fully insured cover preventative care at 100% with no cost obligation to the insured for these services...however you may be responsible to pay the cost of consultation with your provider if billed separately from the preventative care services.