Health Reform Rules Clarify Preventative Cost-Sharing

Health care reform regulations issued on Wednesday clarify that employers and insurance companies will be able to continue to impose cost-sharing requirements on preventative services employees receive from out of network providers.

There were questions throughout the industry if reform would require 100% coverage of both in and out of network preventative services, removing any incentive for employees to go in network for their routine preventative care.

Grandfathered plans are exempt from the requirement to cover preventative services at 100% with no cost-sharing.

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