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Q

What are the direct costs of health care reform to my medical plan?

A

In the short-term, there are increased costs to change required coverage provisions, such as waiving copays and increased preventive care services for non-grandfathered plans. Plans also cannot have pre-existing condition limitations or annual dollar limits on most benefits anymore. Additionally, there are new ACA fees that are either added to your insured premium or paid by you if your plan is self-insured – the PCORI and reinsurance fees, plus the industry fee for insured plans. Employers subject to Employer Shared Responsibility will have additional administrative tracking and reporting costs, as well as the cost to possibly expand eligibility to more employees.

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