The final Notice of Benefits and Payment Parameters for plan year 2025 is expected soon. The proposed rule included a provision that would permit states to require coverage of adult dental services as part of the Essential Health Benefits. As part of a CHIRblog series on Marketplace dental benefits, CHIR reviewed comments submitted in response to this proposal by select stakeholder groups.
Dental care is an important element of comprehensive health care. The Affordable Care Act (ACA) requires coverage of pediatric dental services in many commercial plans, but the law has had less of an impact on adult dental coverage. This first blog in a new series on dental coverage in the ACA Marketplaces summarizes the legal framework of dental coverage and potentially forthcoming changes under the proposed Notice of Benefit and Payment Parameters for 2025.
With the final rules on essential health benefits and market reforms now released, stakeholders have turned to how coverage will work for consumers. Our colleagues at the Center for Children and Families take a look at how one important set of benefits—dental care—will work for kids next year. Joe Touschner has more on some of the most important issues to watch regarding dental coverage for children.
The opinions expressed here are solely those of the individual blog post authors and do not represent the views of Georgetown University, the Center on Health Insurance Reforms, any organization that the author is affiliated with, or the opinions of any other author who publishes on this blog.
