Health plan benefit design recommendations
to improve the health of children,
adolescents, and pregnant women.
- Plan implementation guidance –
plan administration information,
cost-sharing provisions, and key
definitions.
- The Maternal and Child Health Plan
Benefit Model –recommendations on
minimum health, pharmacy, vision,
and dental benefits; and abbreviated
cost-impact assessments.
- An actuarial analysis illustrating the
financial impact of the Maternal and
Child Health Plan Benefit Model on
both PPO and HMO plan designs.
Employers can use this information
to estimate the impact of the Maternal
and Child Health Plan Benefit Model
recommendations on their covered
population.
- A cost-offset addendum that provides
economic data to support the cost-
effectiveness of prevention and
early detection.
2
The Maternal and Child
Health Plan Benefit Model:
Evidence-Informed Coverage
Plan Benefit Model:
Evidence-Informed Coverage