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Providers - Health Care Reform and You - Preventive Services

Health care reform – The Patient Protection and Affordable Care Act (ACA) – is now the law. MVP Health Care is committed to implementing the provisions of the health care reform law and to keeping you informed with the most up-to-date information about this important topic.

Health Care Reform Act - Preventive Services
As of October 1, 2010, MVP Health Care does not require copays, deductibles or coinsurance for the preventive services designated by the ACA when these services are the primary reason for a visit. This applies to MVP fully-insured plans and may not apply to ASO (self-funded) plans.

Providers should still bill MVP for these services as appropriate; however, no copay/coinsurance/cost share should be taken at the time of service. Claims will still be subject to clinical edits and bundling.

 For further information on preventive services that are covered by this regulation, visit:

• Preventive Health Services for Providers
• Healthcare.gov - Preventive Service Task Force Recommendations
• American Academy of Pediatrics - Recommendations for Preventive Pediatric Health Care
• Centers for Disease Control - General Recommendations on Immunizations