Additional Covered Preventive Care Services Effective January 1, 2015

The Patient Protection and Affordable Care Act (PPACA) mandates non-grandfathered health plans provide coverage without cost-sharing for certain in-network preventive care services for adults and children. Effective January 1, 2015, Starmark® self-funded plan designs will include 100% benefits for the preventive services listed below when they are received from an in-network provider. (Out-of-network services are subject to the plan deductible and coinsurance.) Services may vary by plan/state.

 

Additional PPACA-Mandated Preventive Care Services for Men:Abdominal aortic aneurysm screening Starmark Self-funded Plan Designs Include:Effective Jan. 1, 2015, screening for men age 65 to 75 who have ever smoked.
PPACA-Mandated Adult Immunizations:Haemophilus influenzae type B (Hib) Starmark Self-funded Plan Designs Include:Effective Jan. 1, 2015, one to three doses if some other risk factor is present.
PPACA-Mandated Screenings for Children and Teens:Hepatitis B screening Starmark Self-funded Plan Designs Include:Effective Jan. 1, 2015, for non-pregnant adolescents.

 

The Preventive Services flyer has been updated and is available in the Healthcare Reform Toolkit.

 

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