b section requires an issuer to offer If voluntary termination See Section I, Table 2 below. the benefit, consistent with 42 of pregnancy is covered, U.S.C. 18023 (b)(1)(A)(i) and 45 indicate the pricing per CFR. 156.115. This means that member per month issuers are not required to cover (PMPM). See 45 CFR voluntary abortion services. §156.280(e) (4). However, if issuers decide to cover c Explain in detail that Part voluntary abortion services, the I Unified Rate Review abortion services will be part of Template (URRT) essential health benefits. In Worksheet 2 is entered addition, 45 CFR §156.280(e) (4) appropriately in terms of sets certain requirements for termination of pricing termination of pregnancy. pregnancy for each plan. Provide the following questions See URRT Instructions. related to termination of pregnancy.
section requires an issuer to offer the benefit, consistent with 42 U.S.C. 18023 (b)(1)(A)(i) and 45 CFR. 156.115. This means that issuers are not required to cover voluntary abortion services. However, if issuers decide to cover voluntary abortion services, the abortion services will be part of essential health benefits. In addition, 45 CFR §156.280(e) (4) sets certain requirements for pricing termination of pregnancy. Provide the following questions related to termination of pregnancy. b If voluntary termination of pregnancy is covered, indicate the pricing per member per month (PMPM). See 45 CFR §156.280(e) (4). See Section I, Table 2 below. c Explain in detail that Part I Unified Rate Review Template (URRT) Worksheet 2 is entered appropriately in terms of termination of pregnancy for each plan. See URRT Instructions.
checklist-rates-2018-ind-nongrandfathered-health-plans.docx