Is Dexcon Covered Under The ACA Preventive Care Mandate?

“This Notice expands the list of preventive care benefits permitted to be provided by a high deductible health plan (HDHP) under section 223(c)(2)(C) of the Internal Revenue Code (Code) without a deductible, or with a deductible below the applicable minimum deductible for the HDHP….”

The Notice clarifies that “continuous glucose monitors for individuals diagnosed with diabetes are generally treated as preventive care” and a “new safe harbor for absence of a deductible for certain insulin products applies without regard to whether the insulin product is prescribed to treat an individual diagnosed with diabetes or prescribed for the purpose of preventing the exacerbation of diabetes or the development of a secondary condition.”

While the notice “provides that glucometers are treated as preventive care, it does not directly refer to continuous glucose monitors, which similarly measure glucose levels.”

Does this mean Dexcom can be covered under the ACA preventive benefit? If so plan sponsors across the Fruited Plains will be spending millions of dollars they may not have.

FOR MORE INFORMATION: William Fischer at (202) 317-5500

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