Above is only a small snapshot of preventive services, the actual list is much longer. Here again from an organizational preparation stand point insurers must be prepared to now pay a little more for these benefits whereas before members had to pay a copay or coinsurance amount. A cost
Running head: ASSIGNMENT 7 4 analysis would be helpful in this situation as well. As a strategic response, insurers should be prepared cover a little more for these services and ensure their members are aware of the benefit. Provision Three The third and final provision I will discuss is “SEC. 2714 [42 U.S.C. 300gg–14]. EXTENSION OF DEPENDENT COVERAGE. This provisions states that insurers shall now extend dependent coverage of children for an adult child until the child turns 26 years of age. This provision was among the first in the reform law to take effect, and it increases the availability of insurance to a population that currently has a high uninsured rate (Kaiser Family Foundation, 2010). Many parents and their children who worried about losing health insurance after they graduated from college no longer have to worry due to the PPACA. From an organizational preparation stand point insurers should have implemented this change for all plans upon renewal or effective date, on or after September 23, 2010 and comply with state laws that require coverage beyond age 26. As a strategic response, insurers should provide notices in enrollment packets regarding the extension of dependent coverage. Some to the eligibility requirements are as follows (Priority Health , 2015): o Must be a dependent of the employee (son, daughter or legally adopted). o Don’t have to be living with a parent o Don’t have to be a dependent on parents’ tax return o Don’t have to be full-time students o May be married (but plan doesn’t have to cover the dependent’s spouse or children) Summary
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- Spring '14
- Health Science, health, Healthcare Management, Saint Leo, SLU, HCM550