Illinois Essential Health Benefits Benchmark

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Illinois EHB Benchmark Plan - Centers for Medicare

(9 days ago) WebLimitations, including dollar limits, may apply, see EHB benchmark plan documents. Supplemented using Illinois CHIP. Benefits will be provided only for cornea, kidney, bone marrow, heart valve, muscular-skeletal, parathyroid, heart, lung, heart/lung, liver, …

https://www.cms.gov/CCIIO/Resources/Data-Resources/Downloads/Updated-Illinois-Benchmark-Summary.pdf

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Consumer Coverage Disclosure Act - Fair Labor Standards Division …

(9 days ago) WebRequ ires any employer who provides group health insurance coverage to employees in Illinois to provide all employees with a list of essential health insurance benefits regulated by the State of Illinois (provided below); as well as a comparison of which of those benefits are covered by the insurance plan that is provided by that employer.

https://labor.illinois.gov/laws-rules/fls/consumer-coverage-disclosure-act.html

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Illinois becomes first and only state to change Essential …

(5 days ago) WebThe Essential Health Benefit (EHB)-benchmark plan is the basic set of insurance benefits that most health plans sold in the individual and small group markets in Illinois must cover. In April 2018, Federal Centers for Medicare & Medicaid Services (CMS) announced that states had until July 2, 2018 to submit changes for plan year 2020.

https://www2.illinois.gov/IISNews/18098-DOI_Essential_Health_Benefit-benchmark_plan_Release.pdf

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ILLINOIS EHB BENCHMARK PLAN

(7 days ago) WebBenchmark (Yes/No) Yes EHB-benchmark Plan Option (at 45 CFR §156.111(a)) §156.111(a)(3) – Select a set of benefits that would become the State’s EHB-benchmark plan Comments Illinois’ 2017 -2019 benchmark plan (Blue Gold PPO 011) and CHIP dental plan, AllKids, are the base for the Access to Care and Treatment Plan.

https://idoi.illinois.gov/content/dam/soi/en/web/insurance/sites/insurance/companies/documents/illinoisbenchmarkplansummary.pdf

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2020-2024 Illinois Essential Health Benefit (EHB)

(7 days ago) WebBenchmark Page # Reference 2020-2024 Illinois Essential Health Benefit (EHB) Blue Choice Options PPO High Deductible PPO with HSA Ten (10) Essential Health Benefit (EHB) Categories: - Pediatric services, including oral and vision care (but adult dental and vision coverage aren’t essential health benefits) - Pregnancy, maternity, and

https://www.ccsd59.org/wp-content/uploads/2022/12/CCSD-59-2022.23-IL-EHB-Comparison.pdf

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Introduction to Benchmark Medicaid HFS DRAFT, 10.22

(3 days ago) WebMedicaid by the Deficit Reduction Act of 2006. Parameters for Benchmark Medicaid were further articulated by the ACA, though open policy questions remain and additional federal guidance is reportedly forthcoming. How do Benchmark Medicaid requirements relate to the Essential Health Benefits (EHB) Benchmark plan required for the Exchange?

https://hfs.illinois.gov/content/dam/soi/en/web/hfs/sitecollectiondocuments/introduction-to-benchmark-medicaid-10-22-12.pdf

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2020 Illinois Benchmark Plan Illinois Speech-Language …

(1 days ago) Web2020 Illinois Benchmark Plan. The Affordable Care Act requires that certain insurance plans cover the 10 essential health benefits. The Benchmark Plan for a state is the plan, which other plans must use as a base. The 2020 IL Benchmark plan which has been approved covers both rehabilitation and habilitation speech therapy! View the full plan.

https://www.ishail.org/2020-illinois-benchmark-plan

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Health Benefit Listing (P.A. 102 0630) - Illinois

(4 days ago) Web2020‐2023 Illinois Essential Health Benefit (EHB) Listing (P.A. 102‐0630) Ten (10) Essential Health Benefit (EHB) Categories: ‐ Ambulatory patient services (outpatient care you get without being admitted to a hospital) ‐ Emergency services ‐ Hospitalization (like surgery and overnight stays)

https://labor.illinois.gov/content/dam/soi/en/web/idol/laws-rules/fls/ccda/ildol-employer-ehb-list-pa-102-0630.pdf

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2020-2022 Illinois Essential Health Benefit (EHB) Listing (P.A.

(5 days ago) Webcompares with the essential health benefits under the Illinois benchmark plan. Below is a list of the covered benefits included in the Siemens Corporation Group Insurance and Flexible Benefits Program administered by Anthem Blue Cross & Blue Shield, UnitedHealthcare and CVS Caremark.

https://cache.hacontent.com/ybr/R516/03537_ybr_ybrfndt/downloads/IllinoisEssentialHealthBenefitNotice.pdf

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Illinois becomes first and only state to change Essential Health

(4 days ago) WebThe Essential Health Benefit (EHB)-benchmark plan is the basic set of insurance benefits that most health plans sold in the individual and small group markets in Illinois must cover. In April 2018, Federal Centers for Medicare & Medicaid Services (CMS) announced that states had until July 2, 2018 to submit changes for plan year 2020.

http://insurance2.illinois.gov/Newsrls/2018/08/IDOIBenchmark.pdf

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EHB BENCHMARK ANALYSIS WITH A FOUCS ON THE OPIOID …

(9 days ago) WebThe current Illinois benchmark plan is the Blue Cross Blue Shield of Illinois Blue PPO Gold 011 group markets to cover essential health benefits (EHB), which include items and services in ten benefit categories. HHS regulations (45 CFR 156.100) define EHB based on state-specific EHB

https://www.hhs.gov/guidance/sites/default/files/hhs-guidance-documents/actuarial_report_il_197.pdf

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Essential Health Benefits - xxResources - Illinois.gov

(1 days ago) WebPreventive and wellness services and chronic disease management, such as, shots and screening tests – these services are free only when delivered by a doctor or other provider in your health plan's network. Pediatric services for children, including dental and vision care. Additional benefits include birth control and breastfeeding coverage.

https://www2.illinois.gov/sites/GetCovered/xxResources/Pages/essential-health-benefits.aspx

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Essential Health Benefits - Illinois

(2 days ago) WebPreventive and wellness services and chronic disease management, such as, shots and screening tests – these services are free only when delivered by a doctor or other provider in your health plan's network. Pediatric services for children, including dental and vision care. Additional benefits include birth control and breastfeeding coverage.

https://getcovered.illinois.gov/resources/essential-health-benefits.html

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Reviewing Your State’s Essential Health Benefits (EHB) …

(7 days ago) WebStandards Related to Essential Health Benefits, Actuarial Value, and Accreditation proposed rule (“Rule”), which outlines the policies and standards for coverage of EHBs in the individual and small group markets.1 HHS defines EHB based on a state-specific “base-benchmark plan” selection process that must also include the Affordable …

https://healthlaw.org/wp-content/uploads/2018/09/Guide_for_Reviewing_Your_State_EHB_Benchmark_Selection.pdf

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2020-2022 Illinois Essential Health Benefit (EHB) Listing (P.A.

(9 days ago) WebBelow is a comparison of the essential health insurance benefits required of individual health insurance coverage regulated by the State of Illinois and the benefits covered under your health insurance plan. This information is furnished pursuant to the Illinois Consumer Coverage Disclosure Act. This disclosure does not change or replace the

https://mylife-ts.adp.com/wp-content/uploads/2022/02/ILDOL_Employer_EHB_List_Regence-BCBS-OR-and-WA_Microsite_FINAL.pdf

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Appendix B State Essential Health Benefits-benchmark Plan …

(2 days ago) WebState Essential Health Benefits (EHB) Benchmark Plan –– Supporting Documentation and Justification 2 3. In accordance with §156.111(b)(2)(i), does the State’s proposed EHB-benchmark plan provide a scope of benefits that are equal to, or greater than, to the extent any supplementation is required to

https://www.hhs.gov/guidance/sites/default/files/hhs-guidance-documents/cms-10448_appendix%20b%20ehb%20benchmark%20plan%20certification_il.pdf

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Ten (10) Essential Health Benefit (EHB) Categories

(Just Now) WebPlan Year: FY 2023. Ten (10) Essential Health Benefit (EHB) Categories: Ambulatory patient services (outpatient care you get without being admitted to a hospital) Emergency services. Hospitalization (like surgery and overnight stays) Laboratory services. Mental health and substance use disorder (MH/SUD) services, including behavioral health

https://cms.illinois.gov/content/dam/soi/en/web/cms/benefits/stateemployee/documents/fy2023/blue-cross-oap.pdf

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Essential Health Benefits: Benchmark Plan Submission Process, …

(7 days ago) WebStep 1: Select a “Typical Employer Plan” or a “Comparison Plan.”. Step 2: Calculate the expected value of covering all of the benefits at 100 percent actuarial value in each EHB category in the proposed EHB-benchmark plan and in the “Typical Employer Plan” or “Comparison Plan.”.

https://www.hhs.gov/guidance/sites/default/files/hhs-guidance-documents/PMSC_Slides_012220_5CR_012220_8.pdf

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Advancing Health Equity Through Essential Health Benefits

(1 days ago) WebImproving Health Equity through Benchmarking – Service Recommendations. Be data- and equity-centered. Systemic and structural racism jeopardize health and wellbeing. Disparate rates of diabetes and poor perinatal outcomes. Services important to diverse consumer groups: Diabetic foot care.

https://content.naic.org/sites/default/files/inline-files/Advancing%20Health%20Equity%20Through%20Essential%20Health%20Benefits.pdf

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Employers with Illinois Employees Must Provide New Notice of …

(8 days ago) WebRecently, the Illinois Department of Labor (DOL) released frequently asked questions and a model form relating to the Illinois Consumer Coverage Disclosure Act (“Act”). The Act, which was passed in this August, requires employers with Illinois employees to notify employees whether their group health plans provide certain …

https://www.sequoia.com/2021/12/employers-with-illinois-employees-must-provide-new-notice-of-health-coverage-benefits/

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Illinois mandates health plan disclosure with EHB comparison

(4 days ago) WebFebruary 10, 2022. Employers must make additional health plan disclosures to their Illinois employees under a new state law ( Pub. Act 102-0630, SB 1905). An employer that offers group health coverage must provide a comparison of the plan’s covered benefits against the essential health benefits (EHBs) that state-regulated individual health

https://www.mercer.com/en-us/insights/law-and-policy/illinois-mandates-health-plan-disclosure-with-ehb-comparison/

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