In 2017, the New Hampshire Insurance Department declared market conduct examinations of Anthem, Ambetter by NH Healthy Families, and Harvard Pilgrim. The Examination Reports reflect an 18-month look at the companies' adherence to the parity law during the exam period of January 2016 to July 2017.
The Parity Act is a federal law that requires health insurance companies to cover mental health and substance use disorder (MH/SUD) services in parity with medical and surgical (M/S) services. This includes a requirement that any treatment limitations in a benefit plan can be no more restrictive for MH/SUD services than they are for M/S services.
Anthem
Ambetter by NH Healthy Families
Harvard Pilgrim
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