The plans continue to sell like clockwork today, despite all the speculation, and realistically, it will be difficult for anyone to squash a consumer's desire to purchase first-dollar coverage
when that consumer has the means to purchase such a policy.
The Affordable Care Act of 2010 requires health plans to provide first-dollar coverage
for the preventive services listed in HHS' comprehensive list of preventive services beginning in 2014.
The benefit structure provides first-dollar coverage
(no high deductibles) and gives employees access to see a doctor or obtain a prescription for just a small copayment.
These provisions include new W-2 reporting requirements, the elimination of lifetime and annual limits on benefits, the requirement to provide first-dollar coverage
for preventive care and the extension of eligibility for dependent coverage.
Financial incentives are provided by employer-paid funds, carry forward of unused employer-paid fund balances, and first-dollar coverage
for routine visits and preventive care (e.
Known as first-dollar coverage
, Aetna's insurance policy coverage typically exists all the way up to the full amount on the policy, said a statement.
Insurance companies are concerned (if not downright paranoid) about the prospect of a policyholder not having the financial wherewithal to shoulder its retention, and a court coming along after the fact and making it drop down to provide primary, first-dollar coverage
In essence, the market for the first-dollar coverage
all but disappeared.
Mandating through federal legislation (unlike the Institute of Medicine proposal, which is voluntary) that all private health plans provide first-dollar coverage
for all recommended childhood vaccines.
Both types are designed around a cheaper-to-buy high-deductible health plan, coupled with an account from which deductibles and first-dollar coverage
So his company is moving away from plans that offer first-dollar coverage
, in which employees contribute nothing to the cost of treatment, toward plans that are more consumer-driven and serve as safety nets in case of severe injuries or illness.
In response to these trends, employers more actively managed their workers compensation claims and/or started to self-insure, rather than buying first-dollar coverage