Obama care 1
The Truth of “Obama Care” American National Government/ POL201 Nicole Emery Instructor: David Williams
Obama Care
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I am sure you are asking yourself what does this mean, when does this come to affect and how does this affect you? Here are the changes that happened in 2010. Medicare beneficiaries who fell into the Medicare Part
D Prescription Drug "donut hole" received a $250 rebate. They received a 50% discount on brand name drugs in 2011 and the doughnut hole are eliminated in 2020. Children were allowed to stay on their parents ' health insurance until they turn 26. New private plans were required to cover preventive services with no co-payments, and they are exempt from deductibles. Consumers who applied to new plans have access to an external appeals process if coverage is denied. Insurance companies were prohibited from dropping coverage if someone got really sick. They couldn 't create lifetime coverage limits. They could no longer deny coverage to children with pre-existing conditions. The same will apply to adults in 2014. Until then, adults with pre-existing conditions who have been denied coverage will get access to temporary health insurance coverage until the exchanges is set up. These are the changes that happened in 2011Medicare-covered preventative services were
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exempted
of the patient with controlling the costs of care, the issue of the uninsured began to grow. The concept of some sort of governmentally funded universal health care for all began over a century ago, however, never successfully implemented. From a historical viewpoint, individuals obtained health insurance by purchasing their own policy, as a benefit of employment, or through governmentally funded programs that required certain eligibility criteria be met in order to be eligible. If a person did not qualify for one of these types of health insurance, they generally were left without health insurance coverage.
Now with this rule, everyone is given the right to own coverage, so in the case of an emergency they’ll be readily able to afford this financial burden. Another rule that was implemented was that “young adults [were allowed] to stay on their parents’ plan until age 26” (Eddlem, 2010, p.1). This is exceptionally helpful for those young adults who aren’t able to financially support themselves. In the past when this age was only 18, those without jobs or any source of income couldn’t afford to have any health insurance. Now that the age has been extended to 26, these uninsured young adults are covered until they are able to financially take care of themselves.
pays 86% of the cost of generic drugs during the coverage gap. The patient may get a 50%
First, the act addresses major reforms to undertake in the health insurance sector to improve access to quality health care. The age of dependent coverage increased to 26 years, limits on annual benefits eliminated and challenges faced by those with preexisting medical conditions in getting a cover addressed. In addition, insurance documentation became uniform to allow for comparison (McClanahan, 2012). Thus, more Americans can access an insurance cover without increasing premiums.
The Affordable Care Act help prevent cases like this from reoccurring. Now, your health premiums is based on your age, state, and whether you smoke or not (Ivory, 2015). The idea was to get more people insured. Some like that idea, while others didn't, and probably always will be opposed to getting more people insured. Many who criticize the ACA complain of increased costs for their insurance. These are typically self-employed and earning too much to receive subsidies.
Parity in healthcare has been made possible by medical reforms by the way of legislation. Under the 2010 Affordable Health Care Act, group health plans and health insurance for dependent adults has been made more accessible and affordable, by allowing them to remain on parental policies until the age of 26. Although there are strict regulations constructed to modify the meaning of “dependent” under the act, with the respect to the cost of coverage, there has been a rise in hospital visits of dependent adults aged 19-25.
The Better Care Reconciliation Act would phase out Medicaid expansion beginning in 2021, a larger timeline compared to the House of Representative's health care bill, though cuts would be deeper. Older people under 65 years old would pay five five times as much for coverage than younger people, compared to the current 3-to-1 ratio.
Medicare may not be perfect but until this program is changed it is what we have currently. Medicare has gone through changes since its inception in 1965. The most significant legislative change to Medicare--called the Medicare Modernization Act or MMA--was signed into law President George W. Bush, on December 8, 2003 (CMS, 2013). In a country with a complex healthcare system, a healthcare system that is a hot political stand for every presidential candidate and for each side to have valid arguments for and against is to be expected. But to say that Medicare is heading for disaster can be a stretch. Baby boomers who are entering Medicare eligibility age should not fret; there will be doctors there to service them and Medicare to pay those doctors.
The Patient Protection and Affordable Care Act establishes new requirements for health plans and insurers changed in order to expand access to affordable coverage, and prevent individuals from losing certain coverage. New coverage insurance market regulations will prevent health insurers from denying coverage to people for any reason, in which their health status, and charging people more based on their health status and gender. These new rules will also require that all new health plans provide extensive coverage that include at least a minimal set of services, caps annual out‐of‐pocket spending that does not impose cost‐sharing for preventive services, as well as no impose annual or lifetime limits on coverage. For example, new insurance market regulations within private insurances allow young adults are able to stay in their parents health insurance up to the age 26. Once an employee has reached age 26 they have to upgrade from their parents insurance plan to defendant coverage plan eliminating annual and lifetime limits on coverage such as rescissions and waiting periods within 90 days. Health insurers will be prohibiting from placing an age limit to their coverage in case of fraud. Large employer that offer coverage plans will have to automatically places employs in to a low cost premium plan if the employ sign up or exit out of coverage. Overall health plan premiums will be able to vary based on an age, geographic area tobacco
The ACA has several important expanded coverage features. Most notably, the new law keeps young adults, 26 years of age and younger, on their parent’s health insurance plan. This particular aspect of the reform allowed up to 3 million young adults to remain covered on their parent’s plan which mean 3 million more people had access to primary care, urgent care, and medication. This was a huge increase from 2010 in which 30% of young Americans between the ages of 19 and 29 had no health insurance coverage. (ObamaCare Young Adults. 2010). Additional features of increased coverage under the ACA was the
everyone can get it since some have pre-existing conditions, it helps a great deal of people. One of the terms in the Patient Protection and Affordable Care Act, a.k.a. ObamaCare, says that even children with pre-existing conditions are guaranteed medical insurance. This may seem like a great thing to some, but that means insurance companies are going to have to raise their existing premiums because they will have to pay for much higher risk patients. In addition to the higher premiums, the insurance companies will cut back on the payments they make to
For the first time in history, insurance companies will no longer be allowed to simply tell a person “no”. They will be required to offer coverage and accommodate regardless of a person’s health status, and they will not be able to jack up rates or drop any one from coverage when the main person in the insurance packet gets sick.
Children can stay on their parents, healthcare plan until the age of 26 as of 2012, [2].
Beginning this year is when nobody can be denied health insurance because of any previous medical conditions they were denied to before. The law also ended insurance denials that were due to pre-existing conditions. Good news for adult children is that anyone uo tp 26 can continue to get health insurance on their parent’s policies. The law even ends lifetime limits on insurance payouts and health insurers are demanded to at least spend 85% of their premium dollars on health care.
The claim that Chad and Haley would always be insured is only relevant if (1) the Dumonts continue the premium payments and (2) there is a high probability, based on family health history, that Chad or Haley will contract cancer, diabetes, or heart disease. Otherwise, they will be eligible for insurance in the future and there is no need for “permanent” coverage starting at this young age.