1 / 11

Understanding the Affordable Care Act: Key Health Care Reforms and Requirements

This guide provides essential information about the Affordable Care Act (ACA) and its impact on health care in the U.S. It covers how the ACA lowers health insurance costs for individuals and small businesses, improves care quality, and increases accessibility. Learn about the individual mandate requiring health insurance enrollment, exemptions, and eligibility for Medicaid or federal assistance. The ACA also expands coverage for pre-existing conditions and extends dependent coverage. Find useful resources and timelines for further information.

apria
Download Presentation

Understanding the Affordable Care Act: Key Health Care Reforms and Requirements

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Stay Informed! What you need to know about health care reform May 2012

  2. Health Insurance Costs Are TOO High! PROBLEM:

  3. What does the Affordable Care Act (ACA) do for you? • Lowers the cost of individual & small business health insurance • Improves the quality of health care • Makes health care more accessible

  4. Am I Required to have health insurance? 2014 $95/ year 2016 $695/ year • All individuals MUST be enrolled in a health insurance plan by 2014 that meets basic minimum standards, as set by the government • This can include Medicaid • If you don’t have health insurance, you will have to pay a fee* *Waivers are available under certain conditions, such as religious beliefs

  5. Do you qualify? • Lawfully present individuals must buy health insurance (individual mandate) • May buy health insurances in state exchanges or qualify for Medicaid • May qualify for federal assistance if <400 Federal Poverty Level (FPL) • Individual: Annual income <$44,680 • Family of Four: Annual income <$92,200

  6. Expands Care 26 By 2014, all pre-existing Conditions, lifetime Coverage caps and annual Limits are banned Dependent coverage is extended to age 26

  7. Benefits for Women • Ban on lifetime coverage limits • Allow adult children up to age 26 to join or remain on a parent’s health plan • Phased-in ban on annual limits • Pre-existing Condition • Insurance Plan • Preventive services coverage without copay • $250 rebate for Medicare • beneficiaries in Part D • Medicaid expansion • State insurance exchanges • Insurance market reforms, including no rating on gender • Premium and cost sharing credits for exchange plans • Employer shared responsibility penalties • Phased-in ban on annual limits • Better coverage and lower cost on brand name prescription drugs for Medicare beneficiaries in Part D 2014 2010 2011- 2013

  8. What’s Covered? Mammograms Vision Care Pregnancy Annual Wellness Visits Breastfeeding Support Colonoscopies Vaccinations Newborn Care Mental Health Services Substance Abuse Services

  9. Health Exchange = New Market to Buy Insurance!

  10. How Can I get Health Insurance?

  11. Need More Information? • www.IllinoisHealthMatters.org • www.HealthCare.gov • Asian and Pacific Islander American Health Forum (http://www.apiahf.org/) • Kaiser Family Foundation • Implementation Timeline: (http://healthreform.kff.org/timeline.aspx) • Healthcare Hits Main Street Video http://www.youtube.com/watch?feature=player_embedded&v=3-Ilc5xK2_E

More Related