Trump Administration Extends Transition Relief for Grandmothered Plans

Trump Administration Extends Transition Relief for Grandmothered Plans

On March 25, 2019, the federal Centers for Medicare and Medicaid Service (CMS) issued guidance to extend their transitional policy for “grandmothered” individual and small group health plans for one additional year until 2020.  For consumers to benefit from this transitional relief next year, both the state and the related health insurance issuers must agree to continue to offer and approve these policies.  In Pennsylvania, Highmark Blue Cross Blue Shield and UPMC are the two carriers that currently provide grandmothered health insurance policies. In New Jersey, Horizon and Oxford both still have grandmothered policies available.  As of this time, it appears that these carriers plan to continue offering this coverage in 2020, and the New Jersey and Pennsylvania Insurance Commissioners will continue to allow plans. Delaware and New York do not allow grandmothered plans.

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