Tuesday, April 24, 2012

BCBSNC Women's Preventive Care Under ACA

Impacts to Benefit Plans and Quotes

Date: 04/23/2012

BCBSNC has implemented system changes necessary to quote group plans that comply with the Women’s Preventive Care requirements under the Patient Protection and Affordable Care Act (ACA).

On August 1, 2011, the Department of Health and Human Services (HHS) Health Resources and Services Administration (HRSA) issued detailed guidelines for group health plans and health insurance issuers relating to coverage of preventive services under ACA.

Women’s Preventive Care Overview
Here are some key points to know about this provision:
  • The guidelines specifically address preventive health services that must be offered to women at no additional cost, such as:
    • well-woman visits
    • screening for gestational diabetes
    • human papillomavirus (HPV) DNA testing for women 30 years and older
    • sexually-transmitted infection counseling
    • human immunodeficiency virus (HIV) screening and counseling
    • FDA-approved contraception methods and contraceptive counseling
    • breastfeeding equipment and counseling
    • domestic violence screening and counseling
  • Please see this list of new benefits covered at 100% as we know it today. BCBSNC will provide updates if additional guidance is received and covered benefits change. For the most up-to-date information, including additional detail and any limitations, see www.bcbsnc.com/preventive.
  • All non-grandfathered health plans, both insured and self-insured, will need to include these services without cost sharing for plan years beginning on or after August 1, 2012.
  • Religious groups who meet certain criteria may exempt the contraceptive benefits. The “religious employers” exemption is summarized on Healthcare.gov and HRSA’s website. If you have a group that meets this criteria and wishes to claim this exemption, please contact your BCBSNC representative.

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