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What provisions are grandfathered plans exempt from in the new law?

April 26, 2017exempt grandfathered Law plans

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What provisions are grandfathered plans exempt from in the new law?

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• No cost-sharing requirements for preventive care; • Nondiscrimination testing of insured plans; • Establishing a pediatrician as a PCP (IBC already complies with this provision); • No referrals for OB/GYN services (IBC already complies with this provision); • Internal appeals and an external review procedure (IBC already complies with this provision; • Emergency services without preauthorization treated as in-network benefits (IBC already complies with this provision).