Health Insurance medical plans have changed over the years, but not as much since 2010 with the Affordable Care Act (ACA) Law. This new ACA law has changed health insurance for everyone across the United States of America.
Whether you are a fan of the ACA law or not, chances are it has changed your life in some fashion one way or another. Everyone from individuals, families and businesses (except for certain Religious Groups or Native Americans) that gets health insurance now days has been impacted by this ACA law.
The health care law offers rights and protections that make coverage more fair and easy to understand. Some rights and protections apply to plans in the Health Insurance Marketplace or other individual insurance, some apply to job-based plans, and some apply to all health coverage. The protections outlined below may not apply to grandfathered health insurance plans.
How the health care law protects you:
- Requires insurance plans to cover people with pre-existing health conditions, including pregnancy, without charging more
- Provides free preventive care
- Gives young adults more coverage options
- Ends lifetime and yearly dollar limits on coverage of essential health benefits
- Helps you understand the coverage you’re getting
- Holds insurance companies accountable for rate increases
- Makes it illegal for health insurance companies to cancel your health insurance just because you get sick
- Protects your choice of doctors
- Protects you from employer retaliation
Additional rights and benefits:
- Breastfeeding equipment and support
- Birth control methods and counseling
- Mental health and substance abuse services
- The right to appeal a health plan decision
- The right to choose an individual Marketplace plan rather than the one your employer offers you
How to get Health Insurance:
With the Affordable Care Act (ACA) law, you now have a few different ways in which you can get health insurance.
- On Exchange (Marketplace: State or Government Websites – Usually to get a Tax Credit)
- Off Exchange (Directly through Insurance Carriers – No Tax Credit)
- Group Health Insurance through an Employer
- Medicaid State Programs for lower income individuals and families
- Medicare for individuals 65 and over or individuals on disability
Regardless of what method above a person uses to get their health insurance, we strongly suggest that everyone should use a professional insurance agent. An agent can help guide you through this process and explain the pros and cons of different methods and/or products. It doesn’t cost you anything to use these professionals as they are paid by the insurance carriers they represent. The cost to you is the same whether you use an agent or not, but an experience agent can become invaluable before and even more so after the sale.