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By Danielle Capilla Chief Compliance Officer at United Benefit Advisors Federal agencies released final regulations on the preventive services mandate of the Patient Protection and Affordable Care Act (ACA) that requires non-grandfathered group health plans to provide coverage without cost-sharing for specific preventive services, which for women include contraceptive services. After pushback from religious employers, […]
Posts Tagged ‘Cost-Sharing’
Cost Sharing Limits Changing for 2016 | San Francisco Employee Benefits
By Danielle Capilla, Chief Compliance Officer at United Benefit Advisors In the Benefit and Payment Parameters for 2016 Final Rule issued in February 2015, federal agencies included a clarification that annual cost-sharing limitations for self-only coverage apply to all individuals, regardless of whether the individual is covered by a self-only plan or is covered by […]
Reference-Based Pricing and Cost-Sharing Limits | San Francisco Benefits Broker
Posted by Linda Rowings The Department of Labor (DOL), the IRS, and the Department of Health and Human Services (HHS) have jointly issued a FAQ that addresses how “reference-based pricing” works with the Patient Protection and Affordable Care Act’s (PPACA) restrictions on out-of-pocket maximums. PPACA limits the out-of-pocket maximum a non-grandfathered plan may impose, and […]
