Title: Prohibits Health Insurers From Placing Caps on Coverage Benefits
Vote to pass a bill that prohibits health insurers from placing caps on coverage benefits in Pennsylvania.
Prohibits health insurers from establishing an annual or lifetime limit on the dollar value of any core benefit for an enrollee, whether provided by an in-network or out-of-network provider (Sec. 3).
Specifies that a core benefit includes a benefit for which no annual or lifetime per enrollee limit was permitted in a policy first offered or issued in plan year 2025 (Sec. 3).
Title: Prohibits Health Insurers From Placing Caps on Coverage Benefits