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The Affordable HealthCare Act or "Care Act"
Patient’s Bill of Rights

The Mission :To Improve the quality of Healthcare while lowering Healthcare costs.

The primary goal of the Affordable Care Act is to help millions of Americans obtain health insurance coverage. To achieve that goal, the Affordable Care Act provides new coverage options, gives consumers the tools they need to make informed choices about their health care coverage, and puts in place strong consumer protections. Agents and brokers will play an integral role in helping individuals understand and act on the coverage choices that the Affordable Care Act offers through Marketplaces.

Under the new law there has many changes to Healthcare as we know it.

Some examples include:


Changes in Coverage :

For Children:

Exclusions for Pre-existing conditions for children under age 19 has been removed.
Children may continue coverage on their parents plan until age 26.

Plan Benefits:

Lifetime limits have been removed from all new health plans.
No out of pocket cost for Preventative Care.
Patients may have a choice of Doctors within your plan network


You may now request reconsideration of payment of a denied claim.
Insurers must publicly dislose justification for big increases in premium.
Controlled spending by Insurance companies that limit their use of premium dollars for Administration.

Pre-existing Conditions

In 2014 the ACA will Prohibit health insurance companies from rating up clients and ridering coverage for specific medical conditions to people with pre-existing conditions.

  • Health law changes
    • Creation of Marketplaces, through which individuals who do not have access to public assistance programs or affordable employer-sponsored coverage may compare and purchase plans. Some individuals will be eligible for financial assistance through premium tax credits and/or cost-sharing reductions through affordability programs.
    • Expansion of Medicaid in some states to cover individuals under age 65 whose household incomes are less than 138% of the Federal Poverty Level (FPL)
    • Introduction of a requirement that requires individuals to maintain minimum essential coverage, qualify for an exemption from coverage, or make a payment when filing their federal income tax returns
  • Major consumer protections
    • Extension of health insurance coverage to children up to age 26
    • Expansion of the “guaranteed issue” requirement to ensure that health insurance issuers offer group and individual market policies to any eligible individual in a state, regardless of health status
    • Prohibition on charging consumers a higher premium based on health status or gender
    • Elimination of annual and lifetime coverage limits
    • Prohibition on coverage limitations or exclusions based on pre-existing conditions
    • Prohibition on precluding a qualified individual’s participation in an approved clinical trial, or discriminating against that individual based on such participation
    • Introduction of an 80/20 MLR (Medical Loss Ratio)rule to ensure that at least 80 percent of the premium dollars paid to a health insurance issuer are spent on providing health care.


Read the full law at http://www.hhs.gov/healthcare/rights/law/index.html

Related Topics:

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*ExploreObamacare.com is not affiliated with any government agency. All information provided is for informational purposes only and no guarantee of the accuracy is hereby implied. The information was the product of researching the Affordable Care Act Bill and is subject to change.
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