New Healthcare Policies/Regulations Which Affect Private Practices

Whether your private practice is in the health sector or not, it still will be affected by the health policies developed and changed. Below are some of the health regulations that affect the private practice.

No Lifetime Or Annual Limits On Coverage

There are varying health plans available for employees to take advantage of, some more generous than others. But even the most generous plans had maximum coverage limits of several million dollars prior to the passing of the health law. Some plans even feature annual coverage limits. The health law has since eliminated the coverage limits on these plans.

No Waiting Before Joining A Plan

Employers in the past could make their new employees wait for an indefinite period of time before they became eligible for coverage under the company’s plan. This is now a thing of the past. New health policies have made it that the waiting time for joining company coverage is nothing more than 90 days from the date of joining the company/business.

External Appeal Rights Are Guaranteed

Those consumers who for any reason disagree with the decision of a health plan to deny payment or benefits for their services, can proceed to appeal the said decision to an autonomous review panel. This health policy applies to new health plans without exception. This includes those that are provided by self-funding companies that cater to the claims of their workers directly and who were previously not included in the policy.

Coverage For Adult Kids Expanded

The health policy allows all workers to include their children in their health plans until they reach 26 years of age. This is irrespective of the fact that they may be married, living in a different state, or financially independent.

Standardized Plans Should Be Described

The health policy requires that all plans come with a summary of their coverage and benefits in a standardized format which allows consumers to understand the coverage and make comparisons between their plans.

These are some of the health care policies that will affect private practices. There are several but these are the main ones affecting private businesses and that to a large extent, favor consumers of health plans.

Leading Management Solutions is a healthcare management solutions company providing assistance and resources to healthcare management. Contact us today at (407) 674-1916 or visit www.lmshealthpro.com. to learn more.

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Kristen Brady is the founder and owner of Kaboom Social Media, your social media marketing and content specialists! Follow her on Twitter: @kb54927