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“We are providing health insurance like never before – we are indeed a national model for how to get residents great access to care and coverage. As a result, the Affordable Care Act is changing lives,” Malloy said in a press release. “This announcement reflects our efforts to ensure that women have the coverage they need.”
A state review of the age limit of 40 that was set in state statute in 2005 has determined that infertility treatment may be clinically effective for individuals older than 40, according to a press release. Individuals receiving infertility treatments, an essential health benefit in Connecticut under the Affordable Care Act, must be healthy and the treatment must be medically necessary to be covered, according to a press release.
Male infertility treatment is also covered by the mandate.
The new standards take effect on policies issued or renewed on or after Jan. 1, 2016.
“This new guidance requires private health insurers to remove the age limit of 40 as a condition of coverage for infertility treatments when medically necessary,” Wade said in a press release. “Limits to coverage that are discriminatory run counter to the clear intent of the Affordable Care Act and we must ensure that our state laws and guidelines are compliant.”
Wade said the department worked with Connecticut’s health insurers to revise and refine the guidelines. The agency also consulted with the National Women’s Law Center.
“More people in Connecticut have health insurance than ever before and we must continue to make certain that their access to Connecticut essential health benefits is unimpeded,” Wade said in a press release. “Clarity is essential when implementing a law as vast and unprecedented as the Affordable Care Act.”
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