Updates on Preventive Care Coverage for Group Health Plans in 2026

October 31, 2025 - 21:50

In light of ongoing discussions regarding preventive care guidelines, non-grandfathered group health plans are mandated to maintain no-cost coverage for preventive care services throughout 2026 and beyond. Recent announcements from regulatory agencies have introduced new or revised preventive care services that these plans must cover without any cost-sharing requirements for enrollees.

This commitment to providing free preventive care is part of the broader efforts under the Affordable Care Act, ensuring that individuals have access to essential health services without financial barriers. The updates reflect an evolving understanding of preventive care needs, aiming to enhance health outcomes for plan participants.

As these changes take effect, employers and plan administrators are encouraged to familiarize themselves with the latest guidelines to ensure compliance and to effectively communicate these benefits to their members. The emphasis on preventive care underscores the importance of early intervention in healthcare, ultimately aiming to reduce long-term healthcare costs and improve overall public health.