Health and Human Services

Imagine There’s a World—Part 2

Health and Human Services announced the final rule on the Summary of Benefits and Coverage. As we had written before, we were concerned that industry wanted to delay implementation by 18 months and wanted to eliminate two of the three scenarios. But the avalanche of letters generated by consumers and health related consumer advocacy groups worked. Here’s the really good news:

  • The new explanations will be available beginning by September 23, 2012, not delayed as industry requested.
  • The Summary of Benefits and Coverage will include two scenarios: having a baby and managing Type II diabetes AND there is a provision for up to six scenarios.

You can read the report on consumer testing that we conducted in collaboration with Consumers Union and see how helpful consumers found the scenarios: http://prescriptionforchange.org/wordpress/wp-content/uploads/2011/08/A_New_Way_of_Comparing_Health_Insurance.pdf

You can see what the template looks like at this link. http://cciio.cms.gov/resources/files/Files2/02102012/blank-sbc-template-finalpdf.pdf

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