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The Affordable Care Act requires non-grandfathered health plans in the individual and small group markets to cover essential health benefits (EHB), which include items and services in the following ten benefit categories: (1) ambulatory patient services; (2) emergency services; (3) hospitalization; (4) maternity and ...
Major provisions of the ACA include: (1) insurance market changes, (2) subsidized coverage for qualifying individuals through federal and state Health Benefit Exchanges, (3) federal funding for an expansion of program eligibility in state Medicaid programs, (4) additional federal financial participation in other health ...
The health care law requires the following organizations and some other parties to report that they provide health coverage to their employees: Certain employers, generally those with 50 or more full-time and full-time equivalent employees. Health insurance companies. Self-insuring employers of any size.
Long-term care: You will need to pay for long-term care if you become disabled or need to move to a nursing home. It's not an essential health benefit under the Affordable Care Act and is not covered by Medicare or most private health plans. Abortion: Abortion is not one of the essential health benefits.
Use this guide to help you find the right health plan in Mississippi. Many people find an ACA Marketplace plan, also known as Obamacare or exchange, to be a cost-effective choice. Mississippi uses the federally run health insurance exchange Healthcare.gov for residents to purchase its ACA Marketplace plans.
A set of 10 categories of services health insurance plans must cover under the Affordable Care Act. These include doctors' services, inpatient and outpatient hospital care, prescription drug coverage, pregnancy and childbirth, mental health services, and more.
You'll find the following protections for patients in the ACA California: Everyone in California has access to health insurance. Pre-existing health conditions cannot deny anyone health coverage or extra charges. Children can be listed on their parent's health plan until they are 26 years of age.
There are four ACA metal tiers: bronze, silver, gold, and platinum. The law sorts the plans into different metal tiers ing to their actuarial value (AV), or the percentage a health insurance plan will pay out of total costs for a specific benefit.