Final Rule on Essential Health Benefits

HHS has released its final rule setting forth future health insurance Exchanges as well as the insurance standards and requirements regarding essential health benefits.

Document Excerpt

This final rule sets forth standards for health insurance issuers consistent with title I of the Patient Protection and Affordable Care Act, as amended by the Health Care and Education Reconciliation Act of 2010, referred to collectively as the Affordable Care Act. Specifically, this final rule outlines Exchange and issuer standards related to coverage of essential health benefits and actuarial value. This rule also finalizes a timeline for qualified health plans to be accredited in Federally-facilitated Exchanges and amends regulations providing an application process for the recognition of additional accrediting entities for purposes of certification of qualified health plans.

 

Link http://www.ofr.gov/OFRUpload/OFRData/2013-04084_PI.pdf

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