Do you know how Texas group Health Insurance is changing?
August 31, 2010 – 7:03 pmElimination of Co-Payments for Screenings and Preventive Care Starting in September of 2010, employer-sponsored (and other) group health plans and Texas health insurance issuers are prohibited from requiring co-pays for all preventive services recommended by an independent expert panel, the United States Preventive Services Task Force. Co-pays are also eliminated for certain recommended immunizations, breast cancer screenings and other preventive care/screenings for women and children. However, this requirement does not apply to “grandfathered” health plans, which are defined in PPACA as any plan in which at least one individual was enrolled as of March 23, 2010. Note: Pay careful attention to the cost-sharing requirements for office visits under this rule. Employee Wellness Discounts Starting January 1, 2014, PPACA enhances such wellness discounts by permitting group health plans to give reductions of up to 30 percent of the cost of premiums to employees who participate in such wellness programs. This may be expanded to 50 ...