Laboratory Required 42 USC Plan must "laboratory services" in a manner substantially equal to Laboratory (a)(1)(B); the base benchmark plan. For purposes of determining actuarial value, Services (EHB) Services 42 USC §18022 an issuer must classify as laboratory services the medically necessary (b)(1)(H); laboratory services and testing, including those performed by a licensed Laboratory Required WAC provider to determine differential diagnoses, conditions, outcomes and Services Laboratory treatment, and including blood and blood services, storage and (EHB) Services procurement, and ultrasound, X ray, MRI, CAT scan and PET scans. (Cont’d) (Cont’d) WAC Plan must include the following services, which are specifically covered by the base benchmark plan, and classify them as laboratory services: Laboratory services, supplies and tests, including genetic testing; WAC Radiology services, including X ray, MRI, CAT scan, PET scan, and ultrasound imaging; and WAC blood products, and blood storage, including the services and supplies of a blood bank. Optional Plan may, but is not required to, include procurement and storage of Laboratory WAC personal blood supplies provided by a member of the enrollee's family Services when this service is not medically indicated. If an issuer includes this benefit in a health plan, the issuer may not include this benefit in establishing the health plan's actuarial value. Maternity and Requirement WAC Plan must cover "maternity and newborn services" in a manner Newborn to cover substantially equal to the base benchmark plan. For purposes of Maternity and 42 USC determining a plan's actuarial value, an issuer must classify as maternity Services (EHB) Newborn (a)(1)(B); and newborn services the medically necessary care and services Services 42 USC 18022 delivered to women during pregnancy and in relation to delivery and (b)(1)(D) recovery from delivery and to newborn children.
Laboratory Services (EHB) Laboratory Services (EHB) (Cont’d) Required Laboratory Services Required Laboratory Services (Cont’d) 42 USC (a)(1)(B); 42 USC §18022 (b)(1)(H); WAC Plan must "laboratory services" in a manner substantially equal to the base benchmark plan. For purposes of determining actuarial value, an issuer must classify as laboratory services the medically necessary laboratory services and testing, including those performed by a licensed provider to determine differential diagnoses, conditions, outcomes and treatment, and including blood and blood services, storage and procurement, and ultrasound, X ray, MRI, CAT scan and PET scans. WAC Plan must include the following services, which are specifically covered by the base benchmark plan, and classify them as laboratory services: Laboratory services, supplies and tests, including genetic testing; WAC Radiology services, including X ray, MRI, CAT scan, PET scan, and ultrasound imaging; and WAC blood products, and blood storage, including the services and supplies of a blood bank. Optional Laboratory Services WAC Plan may, but is not required to, include procurement and storage of personal blood supplies provided by a member of the enrollee's family when this service is not medically indicated. If an issuer includes this benefit in a health plan, the issuer may not include this benefit in establishing the health plan's actuarial value. Maternity and Newborn Services (EHB) Requirement to cover Maternity and Newborn Services WAC 42 USC (a)(1)(B); 42 USC 18022 (b)(1)(D) Plan must cover "maternity and newborn services" in a manner substantially equal to the base benchmark plan. For purposes of determining a plan's actuarial value, an issuer must classify as maternity and newborn services the medically necessary care and services delivered to women during pregnancy and in relation to delivery and recovery from delivery and to newborn children.