New Federal Mandates

Effective Sept 23 the following mandates have gone into effect

  • Covering Dependent Children to age 26

All plans must cover dependent children up to age of 26.

  • 100 percent coverage of preventative care services 

All plans (except grandfathered plans) will provide coverage with no member cost sharing for recommended preventive care services, when provided in network.

  • Annual and Lifetime Limits

All lifetime and annual dollar limits for essential benefits, both in and out of network, have been removed.

  • Pre-existing Conditions

The removal of the ability for health plans to limit or exclude benefits or coverage based on pre-existing conditions for enrollees under the age of 19.