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Can Our Health Plan Require Cost-Sharing for Out-of-Network Lactation Counseling?
Thomson Reuters / EBIA
May 31, 2019
"As preventive services, prenatal and postnatal lactation support, counseling, and equipment rental must be covered without cost-sharing ... [P]articipants must be able to access required preventive services from in-network providers.... [If] a plan's network does not include a provider who offers a particular preventive service, the plan must cover the service without cost-sharing when performed by an out-of-network provider."
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