If enacted, Pennsylvania health plans and two state programs would cover pelvic floor care, subject to medical necessity rules and different start dates for different policies.
Health insurance policies and two state programs would cover care for pelvic floor problems and related conditions. Coverage would still follow medical necessity rules and any costs listed in the policy.
Health insurance policies and two state health programs would cover diagnosis and treatment for pelvic floor problems and related conditions. The programs are Pennsylvania Medical Assistance and the Children's Health Insurance Program. The rule excludes certain limited types of insurance, including dental, vision, auto medical payment, and workers' compensation coverage. Coverage remains subject to medical necessity rules and any copays, coinsurance, or deductibles in the policy. The act would take effect 60 days after enactment. Policies that must file rates or forms would be covered when they first file one on or after that date. Other policies would be covered when issued or renewed on or after 180 days after that date.
No hearings or votes scheduled.