Pennsylvania SB1195 mandates health insurance coverage for preventive services without cost-sharing, with exemptions for certain policies and.
Pennsylvania SB1195, the Health Insurance Preventive Services Coverage Act, requires insurers to cover preventive services without cost-sharing for enrollees in health insurance policies, excluding grandfathered health care plans. The Insurance Department maintains a list of preventive services, which includes evidence-based items and services recommended by federal health agencies. Insurers can add or exempt services from this list, considering public comments and other factors.
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