MAY 2012
IN THIS ISSUE
  Ad Campaign Scores with New Yorkers
  Broker Incentive Offered for NY Bridge Plan Enrollment
Women's Wellness Services — Without Cost-Sharing
  New Shared Administrative Advantage Program for Self-Insured Groups
  Serving NYC's Chinese Community

Women's Wellness Services —
Without Cost-Sharing

In 2010 EmblemHealth rolled out the first of several enhancements required by the federal health care reform law (the Affordable Care Act or ACA) by eliminating cost-sharing for many in-network preventive services. Today, we're poised and ready to comply with the latest health reform mandate that eliminates cost-sharing for additional in-network preventive services.

In addition to the list of preventive services offered in 2010, new and renewing individual and group health plans (except those with grandfathered status) will provide the following preventive services to women with no cost-sharing required when the services are received in network, beginning August 1, 2012*:

  • Well-woman office visits
  • Gestational diabetes screening
  • HPV DNA testing
  • STD counseling
  • HIV screening and counseling
  • Contraception and contraceptive counseling
  • Breastfeeding support, supplies and counseling
  • Domestic violence screening

According to industry research, this second round of preventive services benefits enhancements required by the Affordable Care Act is especially significant for women, since more mothers and daughters will be able to receive life-saving screenings such as pap smears, mammograms and others for conditions and diseases like osteoporosis.


*For calendar-year group health plans, compliance is required beginning January 1, 2013.

 

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