The ACA requires that specific preventive care services must be included in medical plans, at no cost sharing to plan participants. The required services are based on the recommendations made by the U.S. Preventive Services Task Force (USPSTF) and other advisory committees. In June 2019, the USPSTF recommended certain HIV preventive care and screening to be included as preventive care in medical plans. Your health insurance plan must include the new services by the start of the renewal plan year after June 2020.
Separately, the IRS issues various guidance on which preventive care services may be covered by high deductible health plans (HDHPs) before the deductible applies. In July 2019, the IRS issued a notice expanding the list of permissible preventive care benefits to include treatment for specified chronic conditions. Your HDHP is not required to cover preventive care services allowed under IRS guidance, but may choose to do so at the next plan renewal. For our clients with HDHPs, we will discuss incorporating these changes to your plan upon renewal.
For details, please reference OneDigital’s Compliance Confidence blog and contact your Keller|OneDigital account team with any questions.