HB 535 - Prohibits Health Insurers From Placing Caps on Coverage Benefits - Pennsylvania Key Vote

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Title: Prohibits Health Insurers From Placing Caps on Coverage Benefits

Vote Smart's Synopsis:

Vote to pass a bill that prohibits health insurers from placing caps on coverage benefits in Pennsylvania.

Highlights:

  • 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

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