Patient Cost-Sharing Under the Affordable Care Act April 1, 2012 Report Under the Affordable Care Act (ACA), four tiers of health insurance will be offered in the health insurance exchanges and throughout the individual and small group markets beginning in 2014. Under the minimum coverage plan, the “Bronze” plan, the insurance plan will pay for 60 percent of the costs of…
Summary of Coverage Provisions in the Patient Protection and Affordable Care Act July 17, 2012 Issue Brief This short summary describes the health coverage provisions contained in the final version of the Affordable Care Act signed into law in March 2010, including the individual mandate requirements, expansion of public programs, health insurance exchanges, changes to private insurance and employer requirements.
What the Actuarial Values in the Affordable Care Act Mean April 1, 2011 Issue Brief The Patient Protection and Affordable Care Act (PPACA) establishes four levels of coverage based on the concept of “actuarial value,” which represents the share of health care expenses the plan covers for a typical group of enrollees. As plans increase in actuarial value – bronze, silver, gold, and platinum –…
Private Insurance Benefits and Cost-Sharing Under the ACA February 28, 2012 Perspective The Department of Health and Human Services (HHS) recently released guidance on the two key components that determine the level of protection that private insurance plans will provide to consumers under health reform. The first involves the services that insurance plans must cover, and the second involves how much patients…
Health Insurance Transparency under the Affordable Care Act March 8, 2012 Perspective In February, a final rule was issued implementing the Affordable Care Act (ACA) requirement that all health plans provide a uniform summary of coverage for all enrollees and applicants. The idea of providing easy-to-understand summaries of coverage is, in fact, the most popular provision in the ACA, according to a recent Kaiser…
Quick Take: Key Considerations in Evaluating the ACA Medicaid Expansion for States April 18, 2013 Fact Sheet A central goal of the Patient Protection and Affordable Care Act (ACA) is to significantly reduce the number of uninsured by providing a continuum of affordable coverage options through Medicaid and new Health Insurance Exchanges. Following the June 2012 Supreme Court decision, states face a decision about whether to adopt…
How Buying Insurance Will Change Under Obamacare September 24, 2013 Perspective When the Affordable Care Act’s (ACA) health insurance marketplaces (also known as “exchanges”) go online this October, millions of people are expected to apply for private insurance coverage. Nobody expects the launch will be perfect, with no hitches and problems. The law not only replaces a fragmented and confusing assortment…
Obamacare and You: If You Are Uninsured… October 1, 2013 Fact Sheet The Affordable Care Act, also called Obamacare, creates several new ways to get health coverage. This fact sheet explains how If you are uninsured and not offered health coverage through your job, you may be able to obtain coverage through Medicaid or through a new health insurance marketplace (or exchange) in your state. It is from our Obamacare & You series.
ACA Open Enrollment: If You Are Low-Income October 25, 2019 Fact Sheet This fact sheet explains 2020 health coverage options that may be available to people who have low incomes, including Medicaid coverage or individual insurance plans through Affordable Care Act (ACA) marketplaces.
Obamacare and You: If You Have a Pre-Existing Condition October 1, 2013 Fact Sheet This short explainer highlights the changes for people with pre-existing health conditions coming under the Affordable Care Act, also known as Obamacare.