Last week AOPA released an independent report they commissioned by the Society for Human Resource Management that detailed the prevalence of O&P related products and services to be included in private insurance plans. The study concluded that roughly 75% of plans currently offer some type of coverage for artificial limbs or custom orthopedic bracing.
This study will be very helpful as the Department of Health and Human Services (HHS) is currently seeking their second public comment period on the “essential benefits package”. According to the Affordable Care Act (ACA), the essential benefits package is a set of basic products and services that will serve as the minimum insurance plan that will be offered in the “health exchanges” beginning in 2014. State-based health exchanges are online portals where consumers can choose their own health insurance plans based on their needs. The inclusion of OP products and services in the essential benefits package is essential to the future of OP private insurance coverage. Read the AOPA-commissioned study here.