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You are here: Home / News / New York Lifts Prosthetic Coverage Limitation

New York Lifts Prosthetic Coverage Limitation

May 22, 2015 by NDNRC

For those of you who have followed the NDNRC and participated in our “Jeopardy” webinars, you know that we highlight the fact that some qualified health plans only cover 1 prosthetic limb per lifetime for consumers. Such a limitation can obviously cause major problems for someone who loses one or more limbs, especially if it’s early in life. The example that we usually provide in our webinars is that of New York where the benchmark plan had this limitation and carriers followed suit. We can happily report that last week the New York exchange has revised its benchmark plan and lifted this restriction. This change will start beginning in coverage year 2016. To read the letter from the New York exchange announcing this change, click here and to read the press release from the National Association for the Advancement of Orthotics and Prosthetics, click here.

Special recognition goes to our New York COC (Center for Independence of the Disabled, NY) who was instrumental in leading the efforts to bring about this change that will undoubtedly improve the lives of many New Yorkers. To read about all of our COCs, click here.

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