Numerous PPACA changes became effective for insurance plan years starting after 9/23/10 (for most patients this would be January 1). Many changes are related to insurance coverage, including:
coverage extends to dependents up to age 26
certain preventive and immunization services will be covered with no patient cost sharing
lifetime dollar limits will be removed from benefit plans
pre-existing condition exclusions and waiting periods are eliminated for patients under 18 (older patients phase in later)
retroactive cancellation will be only in cases of fraud or failure to pay
Other 1/1/11 changes:
increases in penalties for misusing health savings account funds
changes in flexible savings accounts (FSAs)
Providers need to be aware that insurance policies are changing policies rapidly and billing and collection procedures will be impacted.
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