With the several different serious changes taking place in health care industry, everyone must stay updated of them and be aware of what they have to do. In 2010, a health care reform law termed as the “Affordable Care Act” has been passed by the government. This new law enables more people from availing the health insurance, making more and more people obtain the care they require. That is definitely good news. The following are some more important details you should know about this reform law.
Health Plan Costs versus Coverage
In 2012, there is a comparison between health plan costs and coverage. All insurance agencies are required to display the costs and benefits of their different health plan within similar format. The format is termed as the Summary of Benefits and Coverage. It will allow an easy comparison between health care plans. In the same year, there are also rebates from different insurance companies. The companies are required to return the money they get from premiums once they do not spend particular amount of it from medical care.
In 2013, everyone is given the chance to acquire assistance from understanding the different health plans. Here, Certified Agents and Navigators are made available within your community to guide you in understanding the available marketplace plans along with their possible costs. These agents can also guide you when applying and enrolling in a certain plan. In the same year, the “Metal” health plans have also been offered. Four health plan categories are introduced, namely Bronze, Silver, Gold and Platinum. The metal levels could help you with plans comparison, the monthly costs and premiums for services and for things such as hospital visits or doctors. This coverage was made effective last January 1, 2014.
Essential Health Benefits
Essential health benefits have also been introduced. All of the newer health plans for small businesses and individuals should include an inclusive list of services and items termed as “Essential Health Benefits”. The list includes several things such as hospitalization, newborn care, emergency services, newborn care, maternity, substance dependency and mental health services, vision care, pediatric dental care, wellness and preventive services.
Preventative Care Services
With the new plans, you can acquire preventive care without spending any cost. The newer plans will let you cover several preventive care services that include:
• Routine physicals, well-child visits and immunizations.
• Eye lenses, exams and more for kids under the age of 19.
• Mammograms well-woman visits, support, supplies and breast-feeding.
All these services will be covered in the new plans without having to spend so much money. Everyone can acquire a health plan. They cannot be turned down or charged for higher amount for insurance even though they are already sick or suffering from some health condition.
These opportunities are made even better in year 2014. Now, premium tax credits are made available. You can be eligible for a “subsidy” or tax credit helping you pay for your health plan via the marketplace. Aside from this, there are many other favorable changes to expect in this present year. So, everyone must stay updated with all of these.