What is the Affordable Care Act?
The ACA, or Obamacare, created Health Marketplaces, also known as Exchanges, to help people find affordable health coverage. Federal subsidies in the form of premium tax credits are available to consumers meeting income requirements to make the coverage more affordable. However, you can only get financial help from the government if you buy coverage through a Marketplace.
At Freeway, our caring and bilingual healthcare agents are ready to help you find your way through the complicated maze of health insurance.
Open enrollment is a period during which people who want to can apply for insurance through the federal marketplace or their state’s health exchange. It typically lasts around 3 months, although the time period differs from state to state.
Special enrollment is a period after open enrollment where people who missed open enrollment can apply for healthcare if they have a qualifying life event. For example, most people can enroll during special enrollment if they lose their employer-sponsored health plan through a job change.
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What Does the Health Plan Cover?
Health plans must offer essential health benefit standards, including at least the following items and services:
- Ambulatory patient services (outpatient care you get without being admitted to a hospital)
- Emergency services
- Hospitalization (such as surgery)
- Maternity and newborn care (care before and after your baby is born)
- Mental health and substance use disorder services, including behavioral health treatment (this includes counseling and psychotherapy)
- Prescription drugs
- Rehabilitative and habilitative services and devices (services and devices to help people with injuries, disabilities, or chronic conditions gain or recover mental and physical skills)
- Laboratory services
- Preventive and wellness services and chronic disease management
- Pediatric services
Who Pays for Services Provided by the Act?
Typically, both the policyholder and the federal government. You pay a monthly premium, based on the coverage you choose. That monthly premium may be lowered by a federal subsidy to help you pay for your plan. Middle and low-income families will get tax credits (stipend) that cover a significant portion of the cost of coverage. All new plans must cover certain preventive services, such as mammograms and colonoscopies, without charging a deductible, co-pay or coinsurance.
Why People Choose ACA
- You can’t be denied coverage for pre-existing conditions.
- You have the right to quickly appeal any insurance company decision.
- You have the right to get an easy-to-understand summary about a health plan’s benefits and coverage.
- Young adults can stay on their parents’ plan until 26.
- The plan contains a large improvement to women’s health services.
- Better care and protections for seniors.
- New preventative services at no-out-of-pocket costs.
Find out if you are eligible for subsidized health plans and get a free quote today.
Get Affordable Health Insurance through the ACA Today
You have choices when you shop for health insurance. At Freeway Insurance, our bilingual, experienced healthcare agents can help you work your way through finding affordable or no-cost healthcare for you and your family.
Give us a call today at 800-777-5620 to find out how we can help you and your family get insurance for all your needs.