Plan Design & Language: Questions to Consider
ACTIONS TO ENSURE ACA COMPLIANCE
USING PLAN DESIGN TO INCREASE IMMUNIZATION
Areas to Consider
Plan design and related language can be a barrier to employee utilization of preventive benefits. Integrating easy-to-understand language about preventive services into benefits materials is one way to address this issue. You can seek out other solutions on a benefit-specific basis. An example of ways to improve adult immunization rates is included in this section.
Increase employee access to covered immunizations by including pharmacies as in-network providers in your plan design. This will help to ensure that no employee or family member experiences out-of-pocket costs for vaccines covered by the ACA mandate.