Patient Protection and
There was a lot of discussion about the size and complexity of the Patient Protection and Affordable Care Act when President Obama signed it in 2010. The Act puts in place strong consumer protections, provides new coverage options and gives you the tools you need to make informed choices about your health
The Supreme Court has now upheld much of the actís constitutionality. Hence it is a good time to review the key provisions and their implementation timing.
Below are the key elements of the Act:
|If you seek legal advice contact: Michael Kelly Attorney|
1) Lifetime coverage limits. Insurance companies can no longer impose such limits.
2) Annual insurance cap is sharply limited and eliminated entirely in 2014.
3) Pre-existing conditions exclusion
- eliminated for children
- special temporary program for adults until 2014
- Health insurance exchanges by 2014 so everyone is covered.
4) End of "rescissions." You cannot be dropped when you get sick.
5) Young Adult Coverage Can remain on parents' insurance until they are 26.
6) Seniors’ Coverage
- Continuation of all of Medicare’s guaranteed benefits
- Closes the Medicare Part D coverage gap or “doughnut hole” over a10 year period. Started in 2010. 50% coverage in 2011.
- No fee/co-pay for preventive care (such as screenings for cancer and diabetes) Plus your doctor will work with you to develop your own plan to keep you as healthy as possible
- Enhanced access to primary care doctors. Doctors receive bonuses for better quality and improved coordinated care.
7) Rebates from Insurers. If their administrative cost ratio is too high.
Click on your state below to learn about the Health Care Law where you live.