What are the three types of plan categories within the marketplace?

Levels of plans in the Health Insurance Marketplace®: Bronze, Silver, Gold, and Platinum. Categories (sometimes called “metal levels”) are based on how you and your insurance plan split costs. Categories have nothing to do with quality of care.

What are the four major components of the Affordable Care Act?

The Affordable Care Act: A Brief Summary – March 2011

• Expand Access to Insurance Coverage.
• Increase Consumer Insurance Protections.
• Emphasize Prevention and Wellness.
• Improve Health Quality and System Performance.
• Curb Rising Health Costs.

What are the 10 essential health benefits that the ACA considers required coverage?

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 …

What is the difference between Obamacare and marketplace?

The federal Health Insurance Marketplace, which is also called the “Marketplace” or “Exchange,” is the website where individuals can browse various health care plans available under the Affordable Care Act, commonly known as “Obamacare,” as well as compare them, and purchase health insurance.

What are 3 provisions of the Affordable Care Act?

On September 23, 2010, a number of ACA provisions took effect, including the elimination of lifetime limits on coverage, restrictions on annual limits on coverage, prohibition on rescinding coverage except in cases of fraud, and the elimination of pre-existing condition exclusions for children.

What are the three main components of the Affordable Care Act?

The Patient Protection and Affordable Care Act (ACA) has 3 main objectives: (1) to reform the private insurance market—especially for individuals and small-group purchasers, (2) to expand Medicaid to the working poor with income up to 133% of the federal poverty level, and (3) to change the way that medical decisions …

What types of services are included in the preventive services mandated by the ACA?

The types of services that will be covered include regular pediatrician visits, vision and hearing screening, developmental assessments, immunizations, and screening and counseling to address obesity and help children maintain a healthy weight.

What is not covered under the Affordable Care Act?

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.

What is the difference between HealthCare Gov and Marketplace?

A service that helps people shop for and enroll in health insurance. The federal government operates the Health Insurance Marketplace®, available at HealthCare.gov, for most states. Some states run their own Marketplaces.

How many sections are in the Affordable Care Act?

2 parts
The law has 2 parts: the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act.

How many provisions does the ACA have?

The ACA includes three provisions designed to promote premium stability during the early years of ACA implementation. Changes in the insurance market—guarantee issue, rate restrictions and new subsidies available in the Marketplaces—make it easier for people with high health needs to purchase coverage.

What is covered under the Affordable Care Act?

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. Some plans cover more services.

What are the major provisions of the Affordable Care Act ACA quizlet?

Affordable Care Act Provisions Include:

• Individual mandate.
• health insurance reforms.
• Essential Health benefits.
• Affordable insurance exchanges.
• Premium Credits to Eligible Individuals and Families.
• Employer Requirements.
• Premium Subsidiaries to Small Employers.
• Early retirement reinsurance program.

Which of the service is not a part of preventive care?

Alternative therapies: Services such as chiropractic, massage, acupuncture, and other alternative health services are not considered preventive care.

Which of the following are preventive services which must be provided at no cost to the patient under the Affordable Care Act?

I. The services required to be covered without cost-sharing include screening for depression, diabetes, cholesterol, obesity, various cancers, HIV and sexually transmitted infections (STIs), as well as counseling for drug and tobacco use, healthy eating, and other common health concerns.

What are the limitations of the Affordable Care Act?

According to HealthCare.gov, the limit for individuals in 2015 can be no more than $6,600 and for families, no more than $13,200. Out-of-pocket costs include your deductible, coinsurance, and any other fees you pay toward your plan.