Article: Obamacare ACA Flashcards
ACA
federal public health legislation in 2010
One significant difference is all insurers must now :
offer different levels of coverage and coverage for preexisting conditions (loss of job etc).
preexisting condition
exists before getting new health insurance
Under the ACA, health insurers cannot refuse coverage based on a preexisting condition (T/F)
TRUE
ACA subsides of premiums costs of low income families by
1 direct subsides such as the medicaid program. before ACA medicaid did not cover low income working adults
ACA subsides of premiums costs of low income families by
2 Medicaid expansion , this is for adults work work but cannot afford health insurance . adults who’s FPL is below 138%
over 40 states and district of Columbia have expanded medicaid (T/F)
True
help subsidize older Americans
care THROUGH: (reduce medicare reimbursements to healthcare providers)
3Medicare Advantage
a Medicare-approved alternative to original Medicare.
final way ACA subsizes health care is
4 premium tax credits
these depends on the persons household income and help to lower monthly health insurance premiums
individual mandate
The ACA had a penalty for people who did not buy a health insurance plan. This was the individual mandate. This penalty was part of the legislation’s effort at cost-sharing.
repealed in 2017
key elements of ACA
Allowing dependents to remain under their parent’s insurance plans until they turn 26.
Expanding Medicaid eligibility, including adults without dependents, in participating states.
Making subsidies available on the state health insurance exchanges
Enforcing basic standards for health insurance policies
Reducing the waiting time for new employees to get health insurance
The Department of Health and Human Services (HHS) implements the ACA.
TRUE
Health Insurance Marketplace
Bronze, Silver, Gold, and Platinum.
Bronze plans charge enrollees the lowest premiums but pay a smaller share of costs for care (large out of pocket costs)
Platinum plans charge the highest monthly premiums and offer the lowest out-of-pocket costs. Premium plans also pay more of the costs of expensive medical services.
CHIP ensures low-income children receive pediatric care.
TRUE