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How Will the New Health Care Reform Provisions Affect You?


Several new health care reform provisions are set to take effect September 23, 2010. Do you know how they will affect you and your family?

Here is a quick rundown of the new provisions:

  • Insurers can't deny coverage to children under age 19 because of pre-existing conditions. That provision will be extended to adults in 2014
  • Health Plans must cover recommended preventive services, such as mammograms, with no copay
  • Insurers can't drop patients when they become sick due to a patient's error on an insurance application
  • Lifetime caps on coverage are prohibited
  • All new plans must include new rules for internal and external appeal processes when consumers disagree with coverage decisions
  • Women can see their gynecologists without prior approval from a primary care physician
  • When patients have a medical emergency while traveling, they can seek treatment at the nearest facility without incurring out- of- network surcharges
  • Young adults can stay on their parents coverage until age 26 and in some cases in Pennsylvania until 29


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