HHS Issues Essential Health Benefits Bulletin on Benchmarking Gives States Greater Flexibility in Determining What’s Covered Under New Exchange Plans in 2014 On December 16, 2011, the Department of Health and Human Services (HHS) issued a bulletin outlining proposed policies and the approach it intends to pursue in rulemaking for defining Essential Health Benefits (EHB). Per [...]
On October 7, 2011, the Institute of Medicine (IOM) publicly issued its highly anticipated “essential health benefits” (EHB) policy principles to the Department of Health and Human Services (HHS). Among the proposals included in the 297-page report, the IOM recommended that the package of “essential health benefits” be based upon a typical small employer plan in today’s market and linked to the national average premium cost of a “silver” level plan in the Exchange.
If you have a new health insurance plan or insurance policy beginning on or after September 23, 2010, the following preventive services must be covered without your having to pay a co-payment or coinsurance or meet your deductible, when these services are delivered by a network provider.