It is one of the most important requirements for a Non-Grandfathered health Pan to validate that it has no Pre-Existing conditions after ACA comes into force. The test case should be
like this or similar:
Validate that the existing conditions have been removed from
the heath plan of the group.
In Facets, every health plan has four major components. They are Group Id, Product Id, Plan ID and BSBS prefix.
In Facets, there is an application group named Medical Plan. This application group has many applications
and one of the applications is BSBS. So in order to validate that the
health plan has no pre-existing conditions, we have to perform following steps:
Step1: Open Facets and scroll down
to Medical Plan application group.
Step2: Open the applications of the Medical Plan application group
Step3: Scroll down to BSBS
application and press Ctrl+O to open BSBS window.
Step4: Now enter BSBS prefix in BSBS
window edit box and click OK.
Step5: Now Scroll down to PREX(PRE-EXISTING
WAITING PERIOD) and click on it.
Now facets will show you whether the
plan has pre-existing
conditions or not. If the Health Plan has no pre-existing conditions, Facets
will display the following information:
No Pre-existing Waiting Period is applicable
This is how Pre-existing conditions
are validated using Facets.
Excellent post. I completely agreed with the blogger.
ReplyDeleteThank you so much MD Moni for agreeing with me.
ReplyDelete