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Showing results for tags 'PPACA Conundrum'.
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Pediatric Dental as an Essential (PPACA defined) benefit
Guest posted a topic in Other Kinds of Welfare Benefit Plans
Ladies and Gentlemen, here is the Northern Cali solution by the Blues to a nationwide problem: The healthcare client whose employees are immediately subject to the individual mandate is offered a choice between a High ($3,000 max per member) Dental PPO (90%/60%) and a Low ($1,500 max per member)Dental PPO (80%/50%). In addition, a choice of Pediatric Dental PPOs is offered to subscribers and dependents under age 19 with the proviso that one of the Pediatric Dental PPO options must be elected by the employer. Hence, members and subscribers under age 19 have two premiums offered, one of which (the Pediatric Dental PPO) must be selected and paid in order to satisfy the individual (and ultimately employer) mandate. Does anybody (certainly not the regulators nor Speaker Pelosi) have a simpler solution? Regards, Ira P.S. The same situation applies to the essential vision benefit. Trust me, the Delta Dentals and VSPs of the world won't touch these issues with a 10' pole.