04/01/210   Changes on transplants accruing toward lifetime max

The Office of the Insurance Commissioner (OIC) has interpreted SB 5725 to mean health plans cannot apply to the member’s lifetime maximum any costs that also apply to the transplant lifetime maximum.

As a result, effective July 1, 2010, for renewals and new sales for all size groups on Embark^SM, Vantage^SM, Motivate^SM or Asuris HSA Healthplan 2.0^SM, the $350,000 lifetime limit on transplant services and supplies no longer applies toward the overall $2,000,000 lifetime maximum for the plan. This change will be effective April 1, 2010, for the Asuris Preferred Plan (available only to groups of 100+).

For additional information, please talk to your Asuris Sales contact.

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