News & Articles

October 29, 2016


Mandated Home Health Benefits

Group health plans issued or renewed on or after January 1, 2017 are mandated to provide coverage for home health benefits for persons seeking palliative care in conjunction with treatment or management of a serious or life-threatening illness.

Under S.B. 5165, persons seeking such palliative care services need not be home bound in order to be eligible for insurance coverage. 

Mandated Coverage for Health Care Performed by Pharmacists

Group health plans issue...

October 29, 2016

California Legislations Passes to Protect Patients from “Surprise” Medical Bills
Under medical plan policies issued, amended, or renewed on or after July 1, 2017, patients who receive care in in-network facilities will have to pay only in-network cost sharing. Newly-signed A.B. 72 mandates that health plans pay non-contracting health care providers the plan's average contracted rate or 125% of the Medicare rate, whichever is greater. The new law also tightens requirements on health plans to offe...

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