New ACA Preventive Services
The Affordable Care Act requires health plans to cover certain preventive services, without imposing any cost-sharing requirements (co-pay, co-insurance, or deductible), when such services are delivered by in-network providers. The types of covered preventive services, some of which are recommended by the U. S. Preventive Services Task Force (USPSTF), are updated periodically.
On June 11, 2019, the USPSTF recommended two HIV screenings to be included in types of approved preventive services. Generally, compliance with USPSTF recommendations become applicable as of the first plan year beginning one year following issuance of the recommendation. Thus, plans renewing on or after July 1, 2020 must provide coverage for the following HIV-related screenings:
- Pre-exposure Prophylaxis for individuals with a high risk of HIV acquisition; and
- HIV screening for adolescents, adults aged 15 to 65 years, and pregnant women
A complete list of ACA-required preventive services can be accessed from the USPSTF website, as well and the Healthcare.gov website.
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