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Text of Agency FAQs on ACA Implementation and Mental Health Parity Implementation, Set 18
U.S. Department of Health and Human Services [HHS]; U.S. Department of Labor [DOL] and U.S. Treasury Department Link to more items from this source
[Official Guidance]
Jan. 9, 2014

12 Questions and Answers, including: "On September 24, 2013, the [United States Preventive Services Task Force] issued new recommendations with respect to breast cancer. What changes must plans make to comply with the new recommendations? ... If a plan includes a network of providers, is the plan required to count an individual's out-of-pocket expenses for out-of-network items and services toward the plan's annual maximum out-of-pocket limit? ... Is a plan required to count an individual's out-of-pocket costs for non-covered items or services (such as cosmetic services) toward the plan's annual maximum out-of-pocket limit? ... Can the Departments provide any additional clarification of the definition of an insured expatriate health plan for purposes of the temporary transitional relief, as well as additional clarification of the scope of the relief provided? ... A plan participant's doctor advises that an outcome-based wellness program's standard for obtaining a reward is medically inappropriate for the plan participant. The doctor suggests a weight reduction program (an activity-only program) instead. Does the plan have a say in which one? ... If insurance labeled as fixed indemnity insurance provides benefits other than on a per-period basis, may the insurance nonetheless qualify as excepted benefits? ... What was the effect of the Affordable Care Act on [the Mental Health Parity and Addiction Equity Act of 2008]?" [Also available on the CCIIO website.]

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