Summary: Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association
Expanded Coverage for Preventive Care Under
National Health Care Reform
The Patient Protection and Affordable Care Act (PPACA), also known as national health
care reform, was signed into law on March 23, 2010. As part of the new law, beginning
with plan years on or after September 23, 2010, group and individual health plans,
as well as group health insurers, can no longer require cost sharing for certain preventive
services. In addition, coverage must be provided for some preventive services.
Such services may include screenings, immunizations, and other types of care,
as recommended by the federal government.
Effect the New Rules Will Have on Members and Accounts
Blue Cross Blue Shield of Massachusetts is committed to implementing these coverage changes in a way that
best suits the needs and expectations of our members. As such, we will be removing member cost sharing and
adding coverage for certain preventive services in our standard plans that currently apply a cost share or do not
offer the required coverage.
These changes will apply to our insured and self-insured medical accounts, unless the account's plan has
grandfathered status. In this case, the grandfathered plan is not required to make the changes upon renewal.
Blue Cross Blue Shield of Massachusetts will offer the following services with no member cost share when they
are administered by network providers:1
· Routine adult exams