ObamaCare Essential Health Benefits

What Are Essential Health Benefits? Ten Essential Health Benefits must be offered at no dollar limits on every health plan under the Affordable Care Act (ObamaCare). Essential Health Benefits consist of ten categories of items and services required for all individual and small group plans after 2014. Essential Health Benefits are the types of care…

What Are Covered Benefits?

Covered benefits are the items your plan covers with cost sharing in it’s network. Uncovered benefits, or covered benefits out-of-network cost more. ObamaCare’s Essential Benefits vs. Covered Benefits Under the ACA all major medical plans must offer at least one covered service from ten categories of essential health benefits. That makes all essential benefits covered…

Summary of Benefits and Coverage (SBC)

Your health plan’s Summary of Benefits and Coverage (SBC) is a summary of what your plan covers in terms of benefits and cost sharing, and explanations of how everything works. We suggest opening up a Summary of Benefits and Coverage sheet as you follow along. The Summary of Benefits and Coverage PDF can be found…

Minimum Essential Coverage

What is Minimum Essential Coverage (MEC)? Minimum Essential Coverage is health insurance that meets the requirements of the ObamaCare (the Affordable Care Act). This generally means coverage offers 10 essential benefits and meets actuarial value standards. Most coverage offered in the employer, private, and public markets is Minimum Essential Coverage. Meanwhile, short term and limited…

Benefits Of ObamaCare: Advantage of ObamaCare

New Benefits, Rights, and Protections in the Affordable Care Act ObamaCare offers many new benefits, rights, and protections. Most of the benefits of ObamaCare are already here, more benefits are coming. A Summary of ObamaCare’s Benefits, Rights, and Protections Benefits, rights, and protections of the Affordable Care Act (also called the ACA or Obamacare), include:…

Does ObamaCare Cover Coronavirus?

Most insurance sold under the Affordable Care Act covers essential benefits. In simple terms, this means plans must cover necessary testing and treatments. In this sense, all coverage that meets ObamaCare’s standards covers Coronavirus (COVID-19 specifically).

Does ObamaCare Cover Alcohol Rehab?

ObamaCare covers rehab for alcohol and drugs as part of it’s ten essential benefits. Treatment can still include cost sharing amounts and other limits.

Do All ObamaCare Plans Have to Cover Lung Cancer Screening?

Yes. Since cancer screenings are a preventive service (one of ObamaCare’s Minimum Essential Benefits), all ObamaCare health insurance plans have to cover lung cancer screenings. In most cases, this service must be offered at no out-of-pocket costs.

ObamaCare 2020

Everything You Need to Know About ObamaCare for 2020: Information on Subsidies, Rates, Dates, Enrollment, and More We cover everything you need to know about ObamaCare in 2020 including information on enrollment, assistance, benefits, plan types, and more. Below we’ll cover what you need to know for 2020 and for 2021 coverage purchased in 2020. ObamaCare in 2020…

ObamaCare 2019

Everything You Need to Know About ObamaCare for 2019: Information on Subsidies, Rates, Dates, Enrollment, and More We cover everything you need to know about ObamaCare in 2019 including information on enrollment, assistance, benefits, plan types, and more. NOTE: This page covers everything you need to know for 2019 up until open enrollment 2020 (which happens at the…

Washington I-1600 Summary of Sections

A universal healthcare initiative to the people was filed in Washington State on January 23, 2018. If supporters are able to gather valid voter signatures by July 6th, 2018 (about 260,000) I-1600 will appear on the 2018 general election ballot in November. I-1600 Brief Summary of Parts I, II, III Part I creates a new…

ObamaCare: Everything You Need to Know About the ACA

What is ObamaCare? Understanding The Affordable Care Act (ACA) “ObamaCare” is a nickname for the healthcare law known as the Patient Protection and Affordable Care Act of 2010 (PPACA). The law is often called the Affordable Care Act (ACA) for short. Many people are aware of the basics of the Affordable Care Act (ACA). They are aware…

How are Original Medicare and Medicare Advantage Different?

What is the Difference Between Original Medicare and Medicare Advantage Plans? We compare Original Medicare and Medicare Advantage to help you better understand the difference between Original Medicare and Medicare Advantage plans. Both Original Medicare and Medicare Advantage are Federally regulated and ACA-compliant, but the fact that aspects of Medicare are privatized means there are significant…

Short-Term and Major Medical Health Insurance

Short Term Coverage Vs. Major Medical Coverage Short term and major medical insurance plans both provide coverage in case of a medical catastrophe, but they have significant differences. Short-term plans are typically used to fill in the gaps between major medical coverage. They act as a temporary coverage and often offer lower premiums for less…

ObamaCare Facts Archive

The facts below are our original “ObamaCare facts” page. These ObamaCare facts will give you a sense of how things used to be and what has changed. See our up-to-date “ObamaCare” facts page here. It is easy to forget that time when women paid more than men for health insurance, or when you could be denied…

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