or EHB Checklist” in addition to this checklist); WAC The plan does not have pediatric dental benefits, and the issuer WAC receives reasonable assurance that the applicant has obtained or will obtain pediatric dental benefits through a stand-alone QDP. This reasonable assurance must be received by the issuer within 60 days. Pediatric Vision Requirement WAC Plan must cover pediatric vision services as an embedded set Services (EHB) for Coverage - 2) of services. 42 USC Plan must pediatric vision services for enrollees until §18021(a)(1)(B) at least the end of the month in which enrollees turn age 42 USC nineteen. 18022(b)(1)(J) WAC Required Plan must cover the following services in a manner Pediatric - 2) substantially equal to the base benchmark plan and classify Vision Services them as pediatric vision services: WAC Routine vision screening without cost sharing WAC WAC a comprehensive eye exam for children, including dilation Pediatric Vision Required as professionally indicated and with refraction every Services (EHB) Pediatric calendar year; (Cont’d) Vision Services WAC One pair of prescription lenses or contacts calendar (Cont’d) year, including polycarbonate lenses and scratch resistant coating. Lenses may include single vision, conventional lined bifocal or conventional lined trifocal, or lenticular lenses;
WAC EHB Checklist” in addition to this checklist); or WAC The plan does not have pediatric dental benefits, and the issuer receives reasonable assurance that the applicant has obtained or will obtain pediatric dental benefits through a stand-alone QDP. This reasonable assurance must be received by the issuer within 60 days. Pediatric Vision Services (EHB) Pediatric Vision Services (EHB) (Cont’d) Requirement for Coverage WAC - 2) Plan must cover pediatric vision services as an embedded set of services. 42 USC §18021(a)(1)(B) 42 USC 18022(b)(1)(J) Plan must pediatric vision services for enrollees until at least the end of the month in which enrollees turn age nineteen. Required Pediatric Vision Services Required Pediatric Vision Services (Cont’d) WAC - 2) Plan must cover the following services in a manner substantially equal to the base benchmark plan and classify them as pediatric vision services: WAC Routine vision screening without cost sharing WAC WAC a comprehensive eye exam for children, including dilation as professionally indicated and with refraction every calendar year; WAC One pair of prescription lenses or contacts calendar year, including polycarbonate lenses and scratch resistant coating. Lenses may include single vision, conventional lined bifocal or conventional lined trifocal, or lenticular lenses;
checklist-forms-2018-hcsc-individual-analyst-checklist.docx