ACA webinar Find Your Way Around the Health Care …...AARP explains how you can find out what the...
Transcript of ACA webinar Find Your Way Around the Health Care …...AARP explains how you can find out what the...
![Page 1: ACA webinar Find Your Way Around the Health Care …...AARP explains how you can find out what the health care law means for you and your family. Keywords ACA, Affordable Care Act,](https://reader033.fdocuments.in/reader033/viewer/2022050406/5f83b079df117973eb5bc717/html5/thumbnails/1.jpg)
Find Your Way Around The Health Care Law
![Page 2: ACA webinar Find Your Way Around the Health Care …...AARP explains how you can find out what the health care law means for you and your family. Keywords ACA, Affordable Care Act,](https://reader033.fdocuments.in/reader033/viewer/2022050406/5f83b079df117973eb5bc717/html5/thumbnails/2.jpg)
2
Agenda
People with health insurance People who are uninsured or buy their own coverage People with Medicare
![Page 3: ACA webinar Find Your Way Around the Health Care …...AARP explains how you can find out what the health care law means for you and your family. Keywords ACA, Affordable Care Act,](https://reader033.fdocuments.in/reader033/viewer/2022050406/5f83b079df117973eb5bc717/html5/thumbnails/3.jpg)
3
People with Health Insurance
![Page 4: ACA webinar Find Your Way Around the Health Care …...AARP explains how you can find out what the health care law means for you and your family. Keywords ACA, Affordable Care Act,](https://reader033.fdocuments.in/reader033/viewer/2022050406/5f83b079df117973eb5bc717/html5/thumbnails/4.jpg)
Adds More Consumer Protections
• Insurance companies can’t drop coverage if you get sick
• Insurance companies must justify increases to
premiums and spend more on health care over administrative costs
• No one can be denied coverage for a pre-existing condition
4
![Page 5: ACA webinar Find Your Way Around the Health Care …...AARP explains how you can find out what the health care law means for you and your family. Keywords ACA, Affordable Care Act,](https://reader033.fdocuments.in/reader033/viewer/2022050406/5f83b079df117973eb5bc717/html5/thumbnails/5.jpg)
5
Eliminates Lifetime And Annual Coverage Limits
• Insurance companies can’t place lifetime limits on your coverage
• Insurance companies can’t place annual limits on your coverage
![Page 6: ACA webinar Find Your Way Around the Health Care …...AARP explains how you can find out what the health care law means for you and your family. Keywords ACA, Affordable Care Act,](https://reader033.fdocuments.in/reader033/viewer/2022050406/5f83b079df117973eb5bc717/html5/thumbnails/6.jpg)
6
Mammograms
Immunizations
Screening for cancer or diabetes
Requires Coverage For More Preventive Services
![Page 7: ACA webinar Find Your Way Around the Health Care …...AARP explains how you can find out what the health care law means for you and your family. Keywords ACA, Affordable Care Act,](https://reader033.fdocuments.in/reader033/viewer/2022050406/5f83b079df117973eb5bc717/html5/thumbnails/7.jpg)
7
People Who Are Uninsured Or Buy Their Own Coverage
![Page 8: ACA webinar Find Your Way Around the Health Care …...AARP explains how you can find out what the health care law means for you and your family. Keywords ACA, Affordable Care Act,](https://reader033.fdocuments.in/reader033/viewer/2022050406/5f83b079df117973eb5bc717/html5/thumbnails/8.jpg)
8
Establishes a new way to buy Health
Insurance
The Health Insurance Marketplace
![Page 9: ACA webinar Find Your Way Around the Health Care …...AARP explains how you can find out what the health care law means for you and your family. Keywords ACA, Affordable Care Act,](https://reader033.fdocuments.in/reader033/viewer/2022050406/5f83b079df117973eb5bc717/html5/thumbnails/9.jpg)
1. Doctor visits
2. Emergency Services
3. Hospital care
4. Maternity and newborn care
5. Mental health and substance use disorder services, including behavioral health treatment
6. Prescription drugs
7. Rehabilitative services and habilitative services and devices
8. Laboratory services
9. Preventive and wellness services, and chronic disease management
10.Pediatric services, including oral and vision care
9
Core Set Of Benefits
![Page 10: ACA webinar Find Your Way Around the Health Care …...AARP explains how you can find out what the health care law means for you and your family. Keywords ACA, Affordable Care Act,](https://reader033.fdocuments.in/reader033/viewer/2022050406/5f83b079df117973eb5bc717/html5/thumbnails/10.jpg)
Several Levels Of Coverage
10
Based on average cost of an individual under the plan. Figures may not be the same for every enrolled person.
![Page 11: ACA webinar Find Your Way Around the Health Care …...AARP explains how you can find out what the health care law means for you and your family. Keywords ACA, Affordable Care Act,](https://reader033.fdocuments.in/reader033/viewer/2022050406/5f83b079df117973eb5bc717/html5/thumbnails/11.jpg)
• Starts 2014
• For health insurance
purchased through the Marketplace
• Must meet income limits to be eligible
11
Provides Help Paying For Insurance
![Page 12: ACA webinar Find Your Way Around the Health Care …...AARP explains how you can find out what the health care law means for you and your family. Keywords ACA, Affordable Care Act,](https://reader033.fdocuments.in/reader033/viewer/2022050406/5f83b079df117973eb5bc717/html5/thumbnails/12.jpg)
Extends Coverage To Young Adults
12
Adult children can stay on your family policy until age 26 even if they:
• No longer live with you • Are married • Are no longer in school
![Page 13: ACA webinar Find Your Way Around the Health Care …...AARP explains how you can find out what the health care law means for you and your family. Keywords ACA, Affordable Care Act,](https://reader033.fdocuments.in/reader033/viewer/2022050406/5f83b079df117973eb5bc717/html5/thumbnails/13.jpg)
Options For States To Expand Medicaid
• Your state has the option to expand coverage to more people • Starts in 2014
• Must meet income limits to be eligible
13
![Page 14: ACA webinar Find Your Way Around the Health Care …...AARP explains how you can find out what the health care law means for you and your family. Keywords ACA, Affordable Care Act,](https://reader033.fdocuments.in/reader033/viewer/2022050406/5f83b079df117973eb5bc717/html5/thumbnails/14.jpg)
14
People Who Have Medicare
![Page 15: ACA webinar Find Your Way Around the Health Care …...AARP explains how you can find out what the health care law means for you and your family. Keywords ACA, Affordable Care Act,](https://reader033.fdocuments.in/reader033/viewer/2022050406/5f83b079df117973eb5bc717/html5/thumbnails/15.jpg)
• Protects guaranteed Medicare benefits
• Improves Medicare benefits • Lowers out-of-pocket costs for prescription
drugs
15
For People With Medicare
![Page 16: ACA webinar Find Your Way Around the Health Care …...AARP explains how you can find out what the health care law means for you and your family. Keywords ACA, Affordable Care Act,](https://reader033.fdocuments.in/reader033/viewer/2022050406/5f83b079df117973eb5bc717/html5/thumbnails/16.jpg)
16
Lowers Out-Of-Pocket Drug Costs
2020: Coverage gap will disappear
Part D cost sharing will
remain
2014: 52.5% discount on brand name
drugs
28% discount on generics
![Page 17: ACA webinar Find Your Way Around the Health Care …...AARP explains how you can find out what the health care law means for you and your family. Keywords ACA, Affordable Care Act,](https://reader033.fdocuments.in/reader033/viewer/2022050406/5f83b079df117973eb5bc717/html5/thumbnails/17.jpg)
Medicare Drug Coverage
52.5% discount
for Brand Name
and 28% for
Generic
Initial Benefit Catastrophic
Benefit
You pay: Deductible and 25% of drug costs
You pay: 5% of drug costs
Doughnut Hole
![Page 19: ACA webinar Find Your Way Around the Health Care …...AARP explains how you can find out what the health care law means for you and your family. Keywords ACA, Affordable Care Act,](https://reader033.fdocuments.in/reader033/viewer/2022050406/5f83b079df117973eb5bc717/html5/thumbnails/19.jpg)
19
Medicare Covers More Preventive Services
• Expands coverage for preventive care
• No copayments or
deductibles for Medicare-approved preventive care Call Medicare at 1-800-633-4227
www.medicare.gov
![Page 20: ACA webinar Find Your Way Around the Health Care …...AARP explains how you can find out what the health care law means for you and your family. Keywords ACA, Affordable Care Act,](https://reader033.fdocuments.in/reader033/viewer/2022050406/5f83b079df117973eb5bc717/html5/thumbnails/20.jpg)
• Increases consumer protections • Establishes a new way to buy health insurance • Improves Medicare-covered benefits
20
Key Points To Remember:
![Page 22: ACA webinar Find Your Way Around the Health Care …...AARP explains how you can find out what the health care law means for you and your family. Keywords ACA, Affordable Care Act,](https://reader033.fdocuments.in/reader033/viewer/2022050406/5f83b079df117973eb5bc717/html5/thumbnails/22.jpg)
The Health Care Law
www.HealthLawAnswers.org
www.MiLeydeSalud.org
Health Insurance Marketplace
www.healthcare.gov 1-800-318-2596
Medicare
www.medicare.gov 1-800-633-4227
22
For More Information
![Page 24: ACA webinar Find Your Way Around the Health Care …...AARP explains how you can find out what the health care law means for you and your family. Keywords ACA, Affordable Care Act,](https://reader033.fdocuments.in/reader033/viewer/2022050406/5f83b079df117973eb5bc717/html5/thumbnails/24.jpg)
Questions & Answers