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Health Plan Discrimination

Meaning

Health plan discrimination refers to the unlawful practice where a group health plan or health insurance issuer treats individuals differently based on a health factor, such as their current medical condition, genetic information, or claims history. This is a critical regulatory concern in the wellness space, ensuring that participation in a wellness program is not a prerequisite for obtaining or maintaining health coverage or receiving favorable premium rates, except under specific, legally defined circumstances. Protecting against this discrimination ensures equitable access to health benefits regardless of one’s physiological status or hormonal profile.