Interim final rules for Preventive Care

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There is a provision in the health care reform legislation that requires private plans to cover preventive services with no copays or deductibles. This provision is required to be implemented with plan years beginning on or after September 23, 2010 and is not required of grandfathered plans.

Under this provision, prohibition of cost-sharing on preventive benefits applies to those services defined by the U.S. Preventive Services Task Force, American College of International Physician recommended vaccinations, and Health Resources and Services Administration recommended screenings and preventive care for infants, children and adolescents.

To help ensure our members have access to high quality health care services, we will add the new preventive services to our existing list. No services that are currently considered preventive will be removed from our plans as a result of health care reform legislation.

This week interim final rules were released that provide additional guidance on how the preventive care provision should be implemented.  We are currently working to review this new guidance and will provide you with additional information on what impact this will have to your clients in an upcoming Health Care Reform Update.