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- RCW 48. 43. 0126: Summary of benefits and explanation of . . . - Washington
(1) The commissioner shall develop standards for use by a health carrier offering individual or group coverage, in compiling and providing to applicants and enrollees a summary of benefits and coverage explanation that accurately describes the benefits and coverage under the applicable plan
- Benefits health plans must cover under Washington state law
Under Washington state law, certain individual family and group plans must offer these benefits In addition to these benefits, there are also essential health benefits that must be covered under the federal Affordable Care Act
- Washington State Health Insurance Laws: What You Need to Know
Washington State Health Insurance Laws: What You Need to Know Understand how Washington State regulates health insurance, from policy requirements to consumer protections, ensuring fair coverage and compliance
- Washington Issues Various Healthcare Coverage Updates | NFP
The rule also adds that if a health plan offered by an insurer does not include an in-network provider who can deliver preventive services required under Revised Code of Washington 48 43 047 ‒ such as preventive services recommended by the U S Preventive Services Task Force or the HRSA Bright Futures guidelines ‒ the plan must cover the
- 2024 Mandated Benefits Report - Washington state Office of the . . .
Washington state will not need to defray costs incurred by state health insurance benefit requirements for the 2024 health plan year
- PDF WAC 284-170-270 - Washington
However, health plans must not contain unreasonable limits, and must not include limits on the type of provider permitted to render the covered service unless such limits comply with RCW 48 43 045 (1)(a)
- Benefits and coverage by plan - Washington State Health Care Authority
The benefits booklets, also called certificate of coverage (COC) or evidence of coverage (EOC), are produced by the health plans to provide detailed information about plan benefits and what is and is not covered
- Healthcare Reform: The Affordable Care Act | Washington State . . .
Our agency works with other agency programs and partners statewide on important healthcare reform activities including integrating physical and behavioral health, moving our health system toward value-based payment, and advancing whole person care
- Washington enacts numerous benefit, insurance and related laws - Mercer
Washington’s 2022 legislative session ushered in new laws affecting employer-sponsored benefits, long-term care (LTC), paid family medical leave (PFML), prescription drugs, telemedicine, and balance billing
- Essential health benefits benchmark plan | Office of the Insurance . . .
Each state must select its own “benchmark” health insurance plan and use it to determine its essential health benefits Since 2020, Washington state’s EHB benchmark plan has been the Regence BlueShield Direct Gold+ small group health plan
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