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Affordable Care Act (ACA)
The comprehensive health care reform law enacted in March 2010 (sometimes known as ACA, PPACA, or “Obamacare”).
The law has 3 primary goals:
1
Make affordable health insurance available to more people. The law provides consumers with subsidies (“premium tax credits”) that lower costs for households with incomes between 100% and 400% of the federal poverty level (FPL).
2
Expand the Medicaid program to cover all adults with income below 138% of the FPL. (Not all states have expanded their Medicaid programs.)
3
Support innovative medical care delivery methods designed to lower the costs of health care generally.
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If your income is above 400% FPL, you may still qualify for a premium tax credit.
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If your income is at or below 150% FPL, you may qualify to enroll in or change Marketplace coverage through a Special Enrollment Period.
10 covered benefits:
Ambulatory patient services (outpatient care you get without being admitted to a hospital)
Emergency services
Hospitalization (like surgery and overnight stays)
Pregnancy and newborn care (both before and after birth)
Mental health and substance use disorder services, including behavioral health treatment, counseling, and psychotherapy
Prescription drugs
Rehabilitative and habilitative services and devices
Laboratory services
Preventive and wellness services and chronic disease management
Pediatric services, including oral and vision care (this doesn’t include adult dental or vision coverage)
Putting Members First
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Benefit Consultants offers clients the best possible protection for all of their insurance needs. As one of the leading consulting agencies in FL, GA, SC, NC, TX, CA and other States, we have built quite the clientele by maintaining a strict customer-comes-first approach. If you are looking to do business with a top notch company that does everything in its power to ensure your satisfaction, contact us today.