AAPD and ADA Comment on Federal Regulations for Pediatric Dental Benefits in 2015

On Dec. 18, 2013, the AAPD and the ADA filed joint comments with CMS concerning their proposed rule on benefit and payment parameters for 2015 as they apply to stand-alone dental plan (SADP) coverage under the Affordable Care Act (ACA). The proposal would reduce the annual limit on cost-sharing for stand-alone dental plans to $300 for one child and $400 for two or more children, in addition to eliminating the actuarial value (AV) requirements. The AAPD and ADA support affordable dental insurance, but raised concerns about the unintended consequences of these proposals. The proposals could drive up the cost of premiums for SADPs and shift the market away from typical dental benefits that provide important preventive and diagnostic services with limited or no cost sharing.  For a copy of the letter click here. For further information, please contact AAPD Chief Operating Officer and General Counsel C. Scott Litch at slitch@aapd.org.


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