The Patient Protection and Affordable Care Act (PPACA) requires health plans to cover designated women's preventive services without cost sharing for the member when the services are provided by a network provider. Cost sharing includes deductibles, copayments and coinsurance. Some of these benefits and services are already included in the existing PPACA preventive services requirements.
This provision applies to all new health plans and renewals for individual groups and self-funded plans that are NOT grandfathered beginning August 1, 2012. (Grandfathered health plans may choose to be exempt from this provision.)
For additional information, please read our Health Care Reform Bulletin on Women's Preventive Services.