tci Medicare Compliance & Reimbursement - 2010 Issue 10

Industry News: Teething Problems: Grandfather Clause In Health Laws Can Result In Raw Deal For Consumers

Definition of "grandfathered" health plans still very vague. Depending on how the Obama administration interprets the term "grandfathered," millions of Americans could lose some important benefits of the new health overhaul law. So say Phil Galewitz and Mary Agnes Carey in their post on www.kaiserhealthnews.org. "Grandfathered" health plans is the legal term for existing health plans which would be exempt from several consumer protections. One of these exemptions requires that beginning as early as September, health plans are prohibited from charging co-payments and other cost-sharing for certain preventive health services such as immunizations and cancer screenings...

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