October 2017

CHIP Program

Congress lets CHIP program lapse. Now, 3000 Ohioans insurance is in jeopardy

The Children’s Health Insurance Program (CHIP) was established in 1997 to provide new coverage opportunities for children in families with incomes too high to qualify for Medicaid, but who cannot afford private coverage. Ohio has about 3,000 Ohioans enrolled in the CHIP program. Ohio has decided to pick up the federal share of the cost …

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school-building

An insurance carrier cannot use a general exclusion barring coverage for in-school treatment

“Ultimately, we simply do not believe that the legislature intended to permit insurers to exclude coverage in the sensory-laden educational environment where children spend large portions of their days, or to require families to litigate the issue of medical necessity discretely in individual cases to secure such location-specific coverage for the treatment,” Pennsylvania Supreme Court …

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