Small Group Membership Allocation (Groups with up to 50 employees for all states) 99.70% 0.30%
Small Group Membership Allocation (Groups with up to 50 employees only for states where Anthem/Blue Limited Coverage is currently marketed) 99.25% 0.75%
Specific Types of Drugs (Not included in pharmacy impacts above): In a few states except contraceptive mandates in most states Coverage varies across, but not within, states Coverage varies across, but not within, states
Smoking Cessation Drugs 0-1%
Weight Loss Drugs 0-1%
Infertility Drugs 0-1%
Contraceptives 0-1%
Sexual Dysfunction Drugs 0-1%
statesPreventive Care Services Including Specific Screenings (Excludes vision exam cost listed below) 3-5% All states mandate at least some preventive services Coverage varies across, but not within, states

This has changed to comply with PPACA and standard non-grandfathered plans now include full preventive care coverage
Coverage varies across, but not within, states

This has changed to comply with PPACA and standard non-grandfathered plans now include full preventive care coverage
Private Duty Nursing 0-1% No Coverage varies across, but not within, states Not covered
Prosthetics 0-1% In several states Covered Not covered (with some exceptions)
Pulmonary Rehabilitation 0-1% No Covered Not Covered (optional coverage available)
TMJ Treatment and Appliances 0-1% In several states Coverage varies across, but not within, states Coverage varies across, but not within. states


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