Rule Sets More Standards for Health Insurance Exchanges

Published
  • February 20 2013, 5:24pm EST

A final rule from the Department of Health and Human Services sets specific standards for individual and small-group coverage of health plans offered through health insurance exchanges, also called marketplaces.

The rule requires non-grandfathered health plans in the individual and small-group markets to cover “essential health benefits” in 10 categories, such as hospitalization, prescription drugs, and maternity/newborn care. Each state can select a benchmark plan--from a federal list--to serve as the standard for plans required to offer essential health benefits.

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