In-Network High Cost Radiology Services - Public Act 06-180 - Effective October 1, 2006

Public Act 06-180 Signed into law on June 7, 2006, Public Act 06-180 was signed into law, establishing copayment maximums and an annual maximum on in-network high cost radiology services. The mandate states that effective October 1, 2006:

• All health insurance policies will have a copayment of not greater than $75 per service for in-network magnetic resonance imaging (MRI) or computed axial tomography (CAT), to a maximum of $375
• All health insurance policies will have a copayment of not greater than $100 per service for in-network positron emission tomography (PET), to a maximum of $400.

Effective October 1, we will implement this benefit as follows:

• All fully insured policies that have a copayment of greater than $75 will be moved to $75 with a $375 maximum on all high cost radiology services (MRI, MRA, CAT, CTA, PET and SPECT)
• Fully insured polices that have a copayment greater than $0 but less than $75 will remain the same, with an annual maximum of $375
• Fully insured polices that have a copayment of $0 will remain the same
  Self-insured polices will remain unchanged
• This applies to group and individual plans but does not apply to health savings account (HSA) plans, per the mandate
• This does not apply to Access 10 plans or coinsurance plans such as Comprehensive