Public Act 06-180 Signed into law on June 7, 2006, Public Act 06-180 was signed into law, establishing copayment maximums and an annual maximum on in-network high cost radiology services. The mandate states that effective October 1, 2006:
- All health insurance policies will have a copayment of not greater than $75 per service for in-network magnetic resonance imaging (MRI) or computed axial tomography (CAT), to a maximum of $375
- All health insurance policies will have a copayment of not greater than $100 per service for in-network positron emission tomography (PET), to a maximum of $400.
Effective October 1, we will implement this benefit as follows:
- All fully insured policies that have a copayment of greater than $75 will be moved to $75 with a $375 maximum on all high cost radiology services (MRI, MRA, CAT, CTA, PET and SPECT)
- Fully insured polices that have a copayment greater than $0 but less than $75 will remain the same, with an annual maximum of $375
- Fully insured polices that have a copayment of $0 will remain the same
Self-insured polices will remain unchanged
- This applies to group and individual plans but does not apply to health savings account (HSA) plans, per the mandate
- This does not apply to Access 10 plans or coinsurance plans such as Comprehensive
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HR Benefits and the Law | The Human Resource, April 26, 2008 3:16 am