Which of the following requires health insurance companies to cover 10 essential health benefits?
All individual health insurance plans and small group (small business) plans sold through an Obamacare exchange must cover these 10 essential health benefits:
- Outpatient care (ambulatory services)
- Prescription drugs.
- Pediatric care (including dental and vision coverage)
- Preventive care.
- Laboratory services.
Who does the ACA not cover?
The ACA is for anyone not covered by their employers, young adults, children, and individuals who make less than 138% of the poverty line.
What qualifies for minimum essential coverage?
What plans are considered minimum essential coverage? Plans that qualify as minimum essential coverage include employer-sponsored plans, individual major medical plans (including new ACA-compliant plans, grandfathered plans, and grandmothered plans), TRICARE, Medicare, most Medicaid plans, and CHIP, among others.
What does Obama care do?
It was designed to extend health coverage to millions of uninsured Americans. The Act expanded Medicaid eligibility, created a Health Insurance Marketplace, prevented insurance companies from denying coverage due to pre-existing conditions, and required plans to cover a list of essential health benefits.
Why is Obamacare not good?
The ACA has been highly controversial, despite the positive outcomes. Conservatives objected to the tax increases and higher insurance premiums needed to pay for Obamacare. Some people in the healthcare industry are critical of the additional workload and costs placed on medical providers.
What are the negatives of Obamacare?
Cons:
- The cost has not decreased for everyone8,9 Those who do not qualify for subsidies may find marketplace health insurance plans unaffordable.
- Loss of company-sponsored health plans10
- Tax penalties11
- Shrinking networks12
- Shopping for coverage can be complicated.
What is Trumpcare?
Trumpcare is the nickname for the American Health Care Act (AHCA). This plan was written by Republicans in the House of Representatives as a replacement plan for the ACA. For the AHCA to become law, the United States Senate must vote on the bill and pass it with a majority vote.
Has the Affordable Care Act been successful?
The Patient Protection and Affordable Care Act (commonly known as the ACA) was spectacularly successful in expanding health insurance to people previously uncovered, through the insurance exchanges and Medicaid expansion. First, the good news: We estimate that the ACA saved more than one-half trillion dollars.
Why is ObamaCare unconstitutional?
United States Department of Health and Human Services declared the law unconstitutional in an action brought by 26 states, on the grounds that the individual mandate to purchase insurance exceeds the authority of Congress to regulate interstate commerce.
Is Obamacare legal?
The Affordable Care Act (ACA), formally known as the Patient Protection and Affordable Care Act, and colloquially known as Obamacare, is a United States federal statute enacted by the 111th United States Congress and signed into law by President Barack Obama on March 23, 2010.
Is Obama care mandatory in 2020?
Effective January 1, 2020, a new state law requires California residents to maintain qualifying health insurance throughout the year. This requirement applies to each resident, their spouse or domestic partner, and their dependents.
How much does Obama care cost per month?
The average monthly premium for 2018 benchmark Obamacare plans is $411 before subsidies, according to the U.S. Department of Health and Human Services.
Is it OK to not have health insurance?
There is no law or rule about not having health insurance – the tax penalty for not having health insurance has also been removed at the federal level, so there’s no longer a fine for being uninsured – but you do face risks if you choose to go uninsured.
How can I avoid paying back Obamacare?
One way to avoid having to pay back all or part of your Affordable Care Act premium assistance is to report to your health exchange any changes in your income during the year. The exchange can adjust downward the amount of premium assistance you receive for the remainder of the year.
What is the minimum income for Marketplace insurance?
According to Covered California income guidelines and salary restrictions, if an individual makes less than $47,520 per year or if a family of four earns wages less than $97,200 per year, then they qualify for government assistance based on their income.
Can I get Obamacare if I have no income?
If you’re unemployed you may be able to get an affordable health insurance plan through the Marketplace, with savings based on your income and household size. You may also qualify for free or low-cost coverage through Medicaid or the Children’s Health Insurance Program (CHIP).