News from the Blues

Blue Cross and Blue Shield of Illinois reports:

Legislative Update Affordable Care Act Question of the Week: Waiting Period

The “Question of the Week” answers frequently asked questions regarding the Affordable Care Act (ACA). This week features a question about the 90-day Waiting Period. If you have a question about ACA provisions, contact your account representative.

Q: With the changes to the waiting period not being able to be longer than 90 days, do you know if groups can use the wording of “three months” instead of “90 days” in benefits and other account-related materials?

A: The language for the 90-day waiting period is specific to “90 days.” Based on the proposed rule, our understanding is that “three months” cannot be used because that may exceed 90 days. However, final rules have not been issued yet by the federal government.”