Navigation Links
Insurers Must Offer Equal Coverage for Those With Emotional, Addiction Problems
Date:1/29/2010

Ruling by U.S. should address long-standing inequity, officials say

FRIDAY, Jan. 29 (HealthDay News) -- Group health insurance plans can no longer limit benefits and require higher patient costs for people with mental health or substance abuse disorders, according to new rules issued Friday by the U.S. government.

Any group health plan -- typically offered by employers -- that includes mental health and substance abuse disorder benefits must treat them equally with standard medical and surgical coverage in terms of out-of-pocket costs, benefit limits and practices such as prior authorization and utilization review, according to the new rules.

"These practices must be based on the same level of scientific evidence used by the insurer for medical and surgical benefits. For example, a plan may not apply separate deductibles for treatment related to mental health or substance abuse disorders and medical and surgical benefits -- they must be calculated as one limit," said a news release from the U.S. Health and Human Services Department.

The new rules, effective for plan years beginning on or after July 1, 2010, implement the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA), which expands on the earlier Mental Health Parity Act of 1996. The new act is named for two federal lawmakers who pushed for equal treatment of mental health and substance abuse disorder benefits.

MHPAEA applies to businesses with 50 or more employees whose group health plan offers mental health and substance abuse disorder benefits.

The Departments of Health and Human Services, Labor and the Treasury jointly issued the new parity rules, which were developed based on the departments' review of more than 400 public comments on the issue.

"Workers covered by group health plans who need mental health and substance abuse care deserve fair treatment. These rules expand on existing protection to ensure that people don't face unnecessary barriers to the treatment they need," Deputy Treasury Secretary Neil Wolin said in the news release.

"Today's rules will bring needed relief to families faced with meeting the cost of obtaining mental health and substance abuse services," added Secretary of Labor Hilda L. Solis. "The benefits will give these Americans access to greatly needed medical treatment, which will better allow them to participate fully in society."

More information

Mental Health America explains how to find mental health care.



-- Robert Preidt



SOURCE: U.S. Department of Health and Human Services, news release, Jan. 29, 2010


'/>"/>
Copyright©2010 ScoutNews,LLC.
All rights reserved

Related medicine news :

1. Obesity Action Coalition Calls on Insurers and Employers to Increase Access to Childhood Obesity Treatments Based on Recent United States Preventative Task Force Recommendations
2. Employer Satisfaction With Health Insurers Is Declining, Finds PricewaterhouseCoopers Study
3. Employer Satisfaction with Health Insurers is Declining, Finds PricewaterhouseCoopers Study
4. Leahy Will Vote to End Health Bill Filibuster, Plans to Offer Amendment to End Health Insurers Antitrust Exemption
5. Childrens and Its Physicians Join Forces With Insurers to Accelerate Transformation of Pediatric Care to a More Effective and Efficient Health Care Delivery System
6. Consumer Watchdog Says Insurers Must Answer Questions About Use of Employees as Mini-Lobbyists in Congress
7. Top Insurers Spend Heavily to Influence Debate on Health Care Reform
8. Leading African American Groups Call On Health Insurers to Dismiss Restrictive Practices
9. CAHI Says Health Insurers Are Not the Problem
10. Medicare Agency Announces Decreased Payments to Medicare Advantage Insurers in 2010, Says MedicareSupplementPlans.com
11. Americans Want Insurers and Physicians to Use Technology to Coach Them to Healthier Habits, Reports New National Survey From Microsoft
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/25/2016)... ... June 25, 2016 , ... "With 30 hand-drawn hand gesture ... said Christina Austin - CEO of Pixel Film Studios. , ProHand Cartoon’s package ... Final Cut Pro X . Simply select a ProHand generator and drag it ...
(Date:6/25/2016)... (PRWEB) , ... June 25, 2016 , ... On Friday, ... presented a Bronze Wellness at Work award to iHire in recognition of their exemplary ... part of the 7th annual Maryland Workplace Health & Wellness Symposium at the BWI ...
(Date:6/24/2016)... ... ... June 19, 2016 is World Sickle Cell Observance Day. In an effort ... holistic treatments, Serenity Recovery Center of Marne, Michigan, has issued a pain ... Disease (SCD) is a disorder of the red blood cells, which can cause episodes ...
(Date:6/24/2016)... ... June 24, 2016 , ... Dr. ... accelerated orthodontic treatment. Dr. Cheng has extensive experience with all areas of orthodontics, ... and accelerated osteogenic orthodontics. , Micro-osteoperforation is a revolutionary adjunct to orthodontic ...
(Date:6/24/2016)... ... June 24, 2016 , ... EB Medicine presented its first-ever ... Medicine conference in Ponte Vedra Beach, FL. The awards honor the outstanding work ... Practice and Pediatric Emergency Medicine Practice. , “With this award, we recognize ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... NAMUR , Belgium , ...  (NYSE MKT: VNRX), today announced the appointment of ... Board of Directors as a Non-Executive Director, effective ... the Company,s Audit, Compensation and Nominations and Governance ... Board, Dr. Futcher will provide independent expertise and ...
(Date:6/23/2016)... Research and Markets has announced ... Type (Organic Chemical (Sugar, Petrochemical, Glycerin), Inorganic Chemical), Functionality ... - Global Forecast to 2021" report to their ... global pharmaceutical excipients market is projected to reach USD ... in the forecast period 2016 to 2021. ...
(Date:6/23/2016)... 2016 Research and Markets has announced ... report to their offering. ... a favourable commercial environment for MedImmune to enter. The US ... will serve to drive considerable growth for effective anti-influenza medications. ... cap sales considerably, but development is still in its infancy. ...
Breaking Medicine Technology: