Proposed Updates: Health Insurance Marketplaces and Insurers for 2025

The Centers for Medicare & Medicaid Services propose new standards for health insurance plans on State and Federal Marketplaces, as well as new requirements for agents, brokers, web-brokers, direct enrollment entities, and other assisters that help Marketplace consumers. Proposals include requiring state Marketplaces to develop standards for time and distance to receive care that are at least as stringent as those under the Federally facilitated Marketplace plans; allowing states to add routine dental services as an essential health benefit; easing consumers’ transition to new coverage under special enrollment periods; and establishing standards for Marketplace call centers to have live representatives available during hours of operation.  The number of issuers offering plans in rural areas has increased in recent years making Marketplace plans an important source of health insurance coverage for those living in rural areas.

Comment by January 8.

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