As of September 23, 2010, new and non-grandfathered individual and group health plans must cover in-network preventive services and immunizations without cost sharing (e.g., deductibles, coinsurance, copayments) or annual limits.
Preventive care services and immunizations include:
- Recommended evidence-based preventive services from the United States Preventive Services Task Force with a rating of A or B
- Immunizations recommended by the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention
- Preventive care guidelines developed by the Health Resources and Services Administration and the American Academy of Pediatrics
- Effective August 1, 2012: expanded list of women’s preventive services, including well-woman visits, support for breastfeeding equipment, contraception and domestic violence screening
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Insights, rules and views on how the Patient Protection and Affordable Care Act (PPACA) may impact you, businesses and the health care industry.
EMPLOYER MANDATE IN REFORM
Businesses must offer affordable medical insurance that provides “minimum value” to employees and their dependents.
INDIVIDUAL MANDATE IN REFORM
Under the health care reform law, all people must have minimum essential coverage beginning January 1, 2014.