Clinical Trial Participants
For plan years beginning on or after January 1, 2014, with respect to individuals who participate in clinical trials, non-grandfathered plans may not deny participation in a clinical trial, limit coverage for routine items and services typically covered for individuals who are not enrolled in clinical trials, or discriminate against individuals based on their participation in clinical trials. Plans do not have to pay for the investigational item, device, or service itself.
Note: The nondiscrimination rules applicable to clinical trial participants only apply to certain types of health plans, such as major medical insurance. They do not apply to HIPAA excepted benefits, such as disability, cancer, hospital indemnity, or accident insurance. Click here for more information about the types of benefits that are exempt from the Health Care Reform plan design mandates.
American Fidelity Assurance Company does not provide tax or legal advice.