Under the Patient Protection and Affordable Care Act, all plans must cover certain preventive care services with no member cost-sharing - with an exception for grandfathered plans - as of plan years beginning on or after Sept. 23, 2010.
Complying with this provision is much more complicated than simply not charging members for certain preventive care services. The list of services is extensive, health plan and administrators' claims payment systems must be reconfigured and provider office policies must be revised. This, coupled with the grandfathered plan provision, has caused confusion for employers, employees, administrators, advisers and providers.
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