Patient Protection & ACA

Question 1

What is the ACA?

Answer 1

Affordable Care Act

Question 2

Who created the ACA? Why?

Answer 2

Under the admin of Barack Obama. For those who were unable to get full coverage of their medical issues

Question 3

Main goals of the ACA?

Answer 3

• increase access
• lower costs
• promote prevention

Question 4

What’s the 1st leg of the ACA?

Answer 4

Guaranteed Issue; Insurers can no longer deny people coverage. Insurance companies are prohibited from excluding coverage due to pre-existing illness. Any applicant can get insurance regardless of race, gender, etc.

Question 5

What’s the 2nd leg of ACA?

Answer 5

Individual insurance mandate. Every must have insurance

-the problem is there are ppl who still can’t afford it

Question 6

What’s the 3rd leg of ACA?

Answer 6

Subsidies. Makes health insurance affordable for those buying insurance on the individual market

• Premium tax credits to reduce to monthly premium costs
• Cost sharing subsidies to minimize out of pocket spending for medical care

Question 7

Federal Poverty Level in 2020?

Answer 7

Increases amount based on the # of people in the house

Question 8

What else helps to increase access to healthcare?

Answer 8

• employer mandate
• medicaid expansion
• extension of dependent coverage to age 26
• more

Question 9

What are the 10 essential benefits of ACA?

Answer 9

-

Question 10

Health insurance exchange?

Answer 10

a mechanism to organize the health insurance marketplace for those who don’t get insurance through their employer or have public insurance

Question 11

Medicaid?

Answer 11

covered low income children, pregnant woman, elderly, and disabled adults, etc
-ACA expanded Medicaid to all people w incomes < 138% FPL

Question 12

Uninsurance?

Answer 12

refers to the share of US residents who lack any insurance coverage. those who move in and out of coverage over time

Question 13

Underinsurance?

Answer 13

the share of people who have health insurance but whose coverage is inadequate to protect them against the risk of high out of pocket spending and cost related delays in obtaining care

Question 14

What is the “Medicaid Gap”?

Answer 14

when there is a significant difference between adults by states who do get medicaid benefits and those who don’t*. Those who are eligible and those who are not

Question 15

American Rescue Plan?

Answer 15

Gives financial incentives to states that have yet to expand Medicaid
-expands eligibility for marketplace subsidies