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Insurance,
Health Care & Hospital Law,
Government

May 20, 2022

State says no end to claims if wheelchairs must be covered in ACA insurance plans

The insurer, along with the California Department of Managed Health Care and its director Mary Watanabe, are accused of denying meaningful access to rehabilitative and habilitative services and devices by either excluding wheelchair coverage or capping benefits at $2,000.

A consumer protection agency and Kaiser Foundation Health Plan Inc. are fighting claims they discriminated against people with disabilities by not covering the cost of wheelchairs in the minimum package of covered benefits in Affordable Care Act-qualified plans.

If the court rules in favor of the plaintiffs, states and health plans would be subject to possible mandates that would force them to cover “virtually any type of service or item ...

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