HCR 101: Your Guide to Understanding Healthcare Reform

Size: px
Start display at page:

Download "HCR 101: Your Guide to Understanding Healthcare Reform"

Transcription

1 HCR 101: Your Guide to Understanding Healthcare Reform

2 Are You Ready for Healthcare Reform? By now, you ve probably been hearing a lot about the Affordable Care Act (also known as healthcare reform or Obamacare). It s a topic that s been getting a lot of attention, and there s no doubt that it brings changes to healthcare for both consumers and insurers. But don t worry, Blue Cross and Blue Shield of Alabama is here to help you make sense of it. We ve developed this guide to give you an overview of what healthcare reform is, how it will work and what it may mean for you. How the Affordable Care Act is Making a Difference for Alabamians The Affordable Care Act creates a new opportunity for Alabamians to find health coverage that fits their needs. For the Alabamians who don t have health insurance, many will likely qualify for a subsidy or tax credit to help pay for their healthcare expenses. The new law also eliminates medical underwriting which means insurance companies cannot discriminate and must accept everyone regardless of their current health status. HCRAlabamaBlue.com provides even more details and information about healthcare reform. 2

3 Key Highlights of the Affordable Care Act: The Individual Mandate One of the components of the Affordable Care Act that has received a lot of attention is the Individual Mandate. This is the part that goes into effect on January 1, 2014 and states that most everyone will need to have basic health insurance. If not, you may be subject to a tax penalty as imposed by the Affordable Care Act. Coverage Options for Young Adults Under the Affordable Care Act, if your plan covers children, you can now add or keep your children on your health insurance policy until they turn 26 years old. Thanks to this provision which went into effect in 2010, over 49,000 young adults in Alabama have gained coverage. Pre-existing Conditions Beginning in 2014, health insurance companies will no longer be able to deny coverage to anyone because of a pre-existing condition. Better Value: The 80/20 Rule Health insurance companies now have to spend at least 80% of your premium dollar on healthcare or improvements to care, or provide you a refund. The Affordable Care Act rebate requirements went into effect last year and Blue Cross and Blue Shield of Alabama is proud to announce that for the second year in a row we will not have to issue rebates. Over 90 cents of every premium dollar we receive is used to pay healthcare claims to doctors, hospitals or other healthcare professionals. Removing Lifetime Limits on Essential Health Benefits The new law prevents insurance companies from imposing lifetime dollar limits on most health benefits, and also bans annual limits completely in Better Health: Covering preventive services with no deductible or copay The Affordable Care Act requires many insurance companies to provide coverage without cost sharing to enrollees for a variety of preventive health services such as colonoscopy screenings for colon cancer, pap smears and mammograms for women, well-child visits and flu shots for children and adults. 3

4 10 Essential Health Benefits All of our plans include 10 Essential Health Benefits. This ensures that people who purchase new plans will be getting access to a minimum standard of healthcare benefits. These include: Ambulatory patient services: Care you receive without being admitted to a hospital for example, at a clinic, physician s office or same-day surgery center. Emergency services: Care for conditions which, if not immediately treated, could lead to serious disability or death. Hospitalization: Care you receive as a patient in a hospital, such as room and board, care from doctors and nurses, and tests and drugs administered during your stay. Maternity and newborn care: Care provided to women during pregnancy as well as during and after labor; care for newly born children. Mental health and substance abuse disorder services: Care to evaluate, diagnose and treat mental health and substance abuse issues. Prescription drug coverage: Drugs prescribed by a doctor to treat an acute illness, like an infection, or an ongoing condition, like high blood pressure. Rehabilitation services and devices: Services and devices to help people with injuries, disabilities or chronic conditions gain or recover mental and physical skills. Laboratory services: Testing blood, tissues, etc. from a patient to help a doctor diagnose a medical condition and monitor the effectiveness of treatment. Preventive and wellness services and chronic disease management: These services include routine physicals, screenings, and immunizations. Chronic disease management is an integrated approach to manage an ongoing condition, like asthma or diabetes. Pediatric services, including oral and vision care: All plans include benefits for pediatric eye exams, glasses, dental exams, cleanings, fluoride treatment, fillings and oral surgery. 4

5 The Health Insurance Marketplace To help you compare plans and find one that best fits your needs, the new law calls for each state, or the federal government to create an online Health Insurance Marketplace. Starting on October 1, 2013, you will be able to go online and search for plans and clearly see each health insurance provider s benefits and costs on the Health Insurance Marketplace. Beginning October 1, visit to shop and compare all of our plans. Metal Levels An Easy Way to Compare Plans The Affordable Care Act recommends that all health insurance companies provide coverage at one or more of the following metal levels: Platinum, Gold, Silver and Bronze. Plans within each metal level will have similar benefit levels and meet the same guidelines. Plan pays:* Platinum 90 % You pay:* 10 % Gold 80 % 20 % Silver 70 % 30 % Bronze 60 % 40 % *On Average 5

6 Are you eligible for a subsidy or tax credit that could lower your health insurance expenses? Find out on October 1. Beginning in 2014, you may be eligible for financial assistance from the federal government to help lower your health insurance expenses. Known as subsidies, these are tax credits that you can use to offset the cost of your health insurance. Depending on your annual income, marital status, family size and other factors, you may be eligible for a subsidy. Save Time: You can find out if you qualify for a subsidy or tax credit faster by having these items ready when you call or go online. You will need: Identification: Your Social Security Number (or document number for legal immigrants) Wages: Employer and income information for everyone in your family (for example: pay stubs, W-2 forms, or wage and tax statements) Current Coverage: Policy numbers for any current health insurance you have Information about any jobrelated health insurance available to your family 6 Beginning October 1, see if you re eligible for a subsidy or tax credit by visiting: Or by calling a.m. to 8 p.m., 7 days a week

7 A Glossary of Terms Here are some of the important terms to understand when reviewing your options under the Affordable Care Act. Affordable Care Act: Legislation that requires most Americans to have health insurance. It also enacts new regulations for insurers, employers and providers, and requires them to offer consumers new coverage options, new ways to purchase insurance and even new financial tax credits to help pay for a plan s monthly premium. Copayment: A copay is the fixed dollar amount you pay for certain medical services or doctor visits at the time you receive care. It varies by plan and company. Cost Sharing: This refers to the portion of costs that are covered by your insurance that you share by paying out of your pocket. It doesn t include your monthly premium, but does include things like copayments and deductibles. Essential Health Benefits: This is the heart of the Affordable Care Act. It mandates a set of 10 benefits that all plans must now include as a way of ensuring that everyone has access to a minimum standard of benefits. Individual Mandate: A statute of the Affordable Care Act that requires most Americans to have health insurance. It goes into effect on January 1, If you don t have health insurance in 2014, you may be subject to a tax penalty. Metal Levels: A way of grouping health insurance plans by the percentage of costs that the plans cover. For example, all Platinum level plans will cover 90 percent of costs, all Gold level plans will cover 80 percent, and so on. Grouping plans this way makes it easier for buyers to compare a plan s benefits and costs. Subsidy (Tax Credit): Financial assistance that is available to help people pay for their health insurance. Eligibility is based on income level, marital status, family size and other factors. Qualified Health Plan: Also referred to as QHPs, these are plans that meet the criteria and provide the benefits required under the new law. Health Insurance Marketplace: A new way to compare and purchase health insurance. Available online and over the phone, Blue Cross and Blue Shield of Alabama will offer plans for sale on the Health Insurance Marketplace. 7

8 Choose Blue. Strong. Dependable. Local. When it comes to the quality you want in your health plan, look to Blue Cross and Blue Shield of Alabama and our more than 75 years of experience in serving Alabamians. We re proud to provide coverage to over 2 million Alabamians in our group, individual and senior market. HCR101_14 An Independent Licensee of the Blue Cross and Blue Shield Association For questions, call: Or visit HCRAlabamaBlue.com

HEALTH CARE R E F O R M

HEALTH CARE R E F O R M HEALTH CARE What does the Affordable Care Act mean to you? HEALTH CARE On March 23, 2010, President Obama signed the Affordable Care Act (ACA) into law. This marked the beginning of health care reform.

More information

The Small Business Guide to Health Care Law

The Small Business Guide to Health Care Law The Small Business Guide to Health Care Law How new changes in health care law will affect you and your employees Table of Contents Introduction 3 Part I: A General Overview of Health Care Law 4 The Affects

More information

Understanding the Impact of Health Care Reform

Understanding the Impact of Health Care Reform Understanding the Impact of Health Care Reform Esteban López, MD, MBA Regional President Disclaimer: The content contained within this presentation is for general informational purposes only and does not

More information

GUIDE. Your. To Public Health Insurance Marketplaces. Find Coverage for You and Your Family

GUIDE. Your. To Public Health Insurance Marketplaces. Find Coverage for You and Your Family GUIDE Your To Public Health Insurance Marketplaces Find Coverage for You and Your Family We are Towers Watson s OneExchange We help you shop for a health plan. We hire and train licensed benefit advisors

More information

Health Insurance Buyers Guide. What You Need to Know to Get Started

Health Insurance Buyers Guide. What You Need to Know to Get Started Health Insurance Buyers Guide What You Need to Know to Get Started Time to Enroll The Affordable Care Act has changed the way that many people get health insurance. You may have more options and more ways

More information

AFFORDABLE CARE ACT FAQ

AFFORDABLE CARE ACT FAQ AFFORDABLE CARE ACT FAQ What is the Healthcare Insurance Marketplace? The Marketplace is a new way to find quality health coverage. It can help if you don t have coverage now or if you have it but want

More information

Health Insurance Marketplace Frequently Asked Questions

Health Insurance Marketplace Frequently Asked Questions Health Insurance Marketplace Frequently Asked Questions Q & A SPECIFIC TO THE HEALTH INSURANCE MARKETPLACE & ASSISTANCE Q1: Why is health insurance important? A: No one plans to get sick or hurt, but at

More information

LEARN. Your guide to health insurance. How to choose the best plan for you and your family

LEARN. Your guide to health insurance. How to choose the best plan for you and your family LEARN Your guide to health insurance How to choose the best plan for you and your family Table of Contents Understanding health insurance...1 Health care law and you...2 Health insurance basics...4 Why

More information

Health Care Reform Basics

Health Care Reform Basics Health Care Reform Basics You may be asking yourself what health care reform is all about. Don t worry, you re not alone many people are asking the same question! This booklet will give you the basics

More information

It goes by many names: Patient Protection and Affordable Care Act (PPACA) or ACA or Obama Care or simply Healthcare Reform.

It goes by many names: Patient Protection and Affordable Care Act (PPACA) or ACA or Obama Care or simply Healthcare Reform. WHAT IS HEALTHCARE REFORM? Healthcare Reform (HCR) is a law passed by Congress that provides many different requirements. A very important aspect of the law is that it is designed to provide individuals

More information

The Small Business Guide to Health Care Law. How new changes in health care law will affect you and your employees 609-662-2400 1

The Small Business Guide to Health Care Law. How new changes in health care law will affect you and your employees 609-662-2400 1 The Small Business Guide to Health Care Law How new changes in health care law will affect you and your employees 609-662-2400 1 2013 Independence Blue Cross Table of Contents Introduction 3 Part I: A

More information

HEALTH CARE REFORM CHECKLIST

HEALTH CARE REFORM CHECKLIST HEALTH CARE REFORM CHECKLIST As a small employer, you need to be aware of the new regulations tied to the Affordable Care Act. Refer to this checklist to ensure you understand each one and that you re

More information

Healthcare. The Affordable Care Act, Wyoming, and You. What s Inside: A basic ACA overview 2. Wyoming healthcare statistics 4

Healthcare. The Affordable Care Act, Wyoming, and You. What s Inside: A basic ACA overview 2. Wyoming healthcare statistics 4 Healthcare Reform The Affordable Care Act, Wyoming, and You What s Inside: A basic ACA overview 2 Wyoming healthcare statistics 4 How is the ACA going to affect you? 6 Warnings about penalties 12 Key dates

More information

Understanding Health Insurance. Your Guide to the Affordable Care Act

Understanding Health Insurance. Your Guide to the Affordable Care Act Understanding Health Insurance Your Guide to the Affordable Care Act Summary Health insurance may seem like a luxury if you are on a tight budget. But protecting your health and your family is one of the

More information

Health Insurance Marketplace. vhealth insurance exchanges. What to expect in 2014. What to expect in 2014

Health Insurance Marketplace. vhealth insurance exchanges. What to expect in 2014. What to expect in 2014 vhealth insurance exchanges Health Insurance Marketplace What to expect in 2014 What to expect in 2014 The basics of exchanges As part of the Affordable Care Act (ACA or health care reform law), starting

More information

A Consumer s Guide to the Affordable Care Act

A Consumer s Guide to the Affordable Care Act A Consumer s Guide to the Affordable Care Act The Affordable Care Act was designed to help make health care affordable for everyone. This guide will help you understand how the ACA affects individuals

More information

Federal Health Reform FAQs

Federal Health Reform FAQs Federal Health Reform FAQs Individuals 1. What is an exchange? An exchange, as created under the Affordable Care Act (ACA), is a place where consumers can purchase subsidized health insurance coverage.

More information

You can usually only shop for insurance during a specific timeframe that occurs once a year called open enrollment.

You can usually only shop for insurance during a specific timeframe that occurs once a year called open enrollment. Getting Started So many of us forget about health insurance until we need to use it. Even when we have insurance, sometimes we forget about the routine and preventive services that help us to get and stay

More information

A,B,C s of Obama Care What do you need to know? How will it affect you and your family?

A,B,C s of Obama Care What do you need to know? How will it affect you and your family? Elephant in the Room A,B,C s of Obama Care What do you need to know? How will it affect you and your family? Confused? What will you learn in this webinar? O What is Obamacare? O What has it done so far?

More information

Health Care Reform. Frequently Asked Questions. June 2013

Health Care Reform. Frequently Asked Questions. June 2013 Health Care Reform Frequently Asked Questions June 2013 Frequently Asked Questions (FAQs) What is a health insurance marketplace or exchange? A marketplace, or exchange, is a website where you can shop

More information

Health Care Reform Update

Health Care Reform Update Small Businesses No Financial Requirements for Small Businesses: The ACA imposes no financial requirements for small businesses to contribute to their employees health insurance. However, beginning in

More information

Simple answers to health reform s complex issues facing every employer, and what you can do now to protect your business and your future.

Simple answers to health reform s complex issues facing every employer, and what you can do now to protect your business and your future. Simple answers to health reform s complex issues facing every employer, and what you can do now to protect your business and your future. If you have any questions, please contact: Health Reform: A Guide

More information

HEALTH INSURANCE CHOICES FOR AMERICAN INDIANS

HEALTH INSURANCE CHOICES FOR AMERICAN INDIANS HEALTH INSURANCE CHOICES FOR AMERICAN INDIANS HEALTH INSURANCE IS AN IMPORTANT RESOURCE THAT CAN KEEP YOU AND YOUR FAMILY HEALTHY. If you have ongoing health issues, health insurance can help pay for treatment

More information

THE KANSAS AFFORDABLE CARE ACT IMPLEMENTATION. Linda J. Sheppard November 6, 2014

THE KANSAS AFFORDABLE CARE ACT IMPLEMENTATION. Linda J. Sheppard November 6, 2014 THE KANSAS AFFORDABLE CARE ACT IMPLEMENTATION Linda J. Sheppard November 6, 2014 The Kansas Market Approximately 348,000 Kansans are uninsured - 12.3% of the state s population 44,130 are children, but

More information

Compare your plan options

Compare your plan options SMALL BUSINESS GROUP Compare your plan options 2014 plans for businesses with 1 50 employees I SMALL BUSINESS GROUP Group Health plans offer value, choice, and more A well-run business takes a lot of time,

More information

Shopping for a health care plan can be confusing. Let us help.

Shopping for a health care plan can be confusing. Let us help. We re here to help Shopping for a health care plan can be confusing. Let us help. Thank you for trusting Anthem Blue Cross and Blue Shield for your health coverage. We re here to protect you from the high

More information

Exchanges and the ACA What You Need to Know for 2014

Exchanges and the ACA What You Need to Know for 2014 Exchanges and the ACA What You Need to Know for 2014 How the Affordable Care Act affects the Individual Health Insurance Market This presentation is for informational purposes only and does not constitute

More information

Health insurance Marketplace. What to expect in 2014

Health insurance Marketplace. What to expect in 2014 Health insurance Marketplace What to expect in 2014 Overview The Affordable Care Act (ACA) includes several provisions geared to extend greater access to health insurance benefits to more people. Beginning

More information

to Health Care Reform

to Health Care Reform The Employer s Guide to Health Care Reform What you need to know now to: Consider your choices Decide what s best for you Follow the rules 2013-2014 Health care reform is the law of the land. Some don

More information

The Affordable Care Act. President Obama signed the Affordable Care Act (ACA) into law on March 23, 2010.

The Affordable Care Act. President Obama signed the Affordable Care Act (ACA) into law on March 23, 2010. The Affordable Care Act President Obama signed the Affordable Care Act (ACA) into law on March 23, 2010. The ACA was enacted to: v Increase quality and affordability of health insurance v Lower the uninsured

More information

Your Guide to Health Insurance Learn how to choose the best health plan

Your Guide to Health Insurance Learn how to choose the best health plan Your Guide to Health Insurance Learn how to choose the best health plan Subsidy Welcome Thank you for considering AmeriHealth New Jersey as your health insurer. We know the importance of having quality

More information

Health Care Reform Frequently Asked Questions (FAQ) Consumers Employers

Health Care Reform Frequently Asked Questions (FAQ) Consumers Employers This page provides answers to frequently asked questions (FAQ) regarding The Patient Protection and Affordable Care Act (PPACA; P.L. 111-148) and the Health Care and Education Reconciliation Act of 2010

More information

A GUIDE TO UNDERSTANDING, GETTING AND USING HEALTH INSURANCE. The. Health Insurance

A GUIDE TO UNDERSTANDING, GETTING AND USING HEALTH INSURANCE. The. Health Insurance A GUIDE TO UNDERSTANDING, GETTING AND USING HEALTH INSURANCE The of Health Insurance THE ABC S OF HEALTH INSURANCE: WHY IS HEALTH INSURANCE IMPORTANT? Even if you are in GOOD HEALTH, you will need to

More information

Why the Affordable Care Act Matters for Women: Health Insurance 101

Why the Affordable Care Act Matters for Women: Health Insurance 101 Why the Affordable Care Act Matters for Women: Health Insurance 101 APRIL 2014 Women are the health care decision makers in our country they make approximately 80 percent of the health care decisions in

More information

LEARN. Your guide to health insurance

LEARN. Your guide to health insurance LEARN Your guide to health insurance Table of Contents Why health insurance is important...1 How the Affordable Care Act affects you...2 See if you may qualify for a subsidy...4 Types of health plans...6

More information

Healthcare Reform Preparedness for Small Businesses

Healthcare Reform Preparedness for Small Businesses Healthcare Reform Preparedness for Small Businesses Blue KC on Wheels Community awareness initiative Health screenings Wellness information Seminars on healthcare reform, health insurance and wellness

More information

Nevada Employer s Guide to the Affordable Care Act. Nevada Division of Insurance

Nevada Employer s Guide to the Affordable Care Act. Nevada Division of Insurance Nevada Employer s Guide to the Affordable Care Act Nevada Division of Insurance Nevada Employer s Guide to the Affordable Care Act State of Nevada Department of Business and Industry Division of Insurance

More information

Ohio Health Benefits LLC. Your health insurance partner!!

Ohio Health Benefits LLC. Your health insurance partner!! December 16, 2014 Presented by Steve Clark & Scott Prior Patient Protection and Affordable Care Act of 2010 Obamacare or ACA or PPACA or Health Care Reform (HCR) Signed in to law on March 23, 2010 The

More information

Consumer Guide to. Health Insurance. Oregon Insurance Division

Consumer Guide to. Health Insurance. Oregon Insurance Division Consumer Guide to Health Insurance Oregon Insurance Division The Department of Consumer and Business Services, Oregon s largest business regulatory and consumer protection agency, produced this guide.

More information

Legislative Brief: COMPREHENSIVE HEALTH COVERAGE ESSENTIAL HEALTH BENEFITS PACKAGE

Legislative Brief: COMPREHENSIVE HEALTH COVERAGE ESSENTIAL HEALTH BENEFITS PACKAGE Laurus Strategies Legislative Brief: COMPREHENSIVE HEALTH COVERAGE ESSENTIAL HEALTH BENEFITS PACKAGE The Affordable Care Act (ACA) requires non grandfathered health insurance plans in the individual and

More information

Insurance. how insurance works

Insurance. how insurance works Insurance how insurance works why health insurance is important Health insurance is one of the best ways you can protect yourself and your family in case you get sick or injured and need medical care.

More information

HEALTH INSURANCE MARKETPLACES FACT SHEET

HEALTH INSURANCE MARKETPLACES FACT SHEET HEALTH INSURANCE MARKETPLACES FACT SHEET INFORMED ON REFORM Overview A Health Insurance Marketplace, also known as a Health Insurance Exchange, is available in every state as a public option for individuals

More information

The Affordable Care Act. What does it mean for you and how we advocate for it?

The Affordable Care Act. What does it mean for you and how we advocate for it? The Affordable Care Act What does it mean for you and how we advocate for it? Who are Young Invincibles? Agenda Overview of the ACA How does health insurance work? What s included in a health insurance

More information

Molina Marketplace. We have a plan to keep you healthy.

Molina Marketplace. We have a plan to keep you healthy. Molina Marketplace We have a plan to keep you healthy. Access. Quality. Commitment. With the new Health Insurance Marketplace, you have a choice. Molina Healthcare is the answer. Here is why you should

More information

Molina Marketplace. We have a plan to keep you healthy.

Molina Marketplace. We have a plan to keep you healthy. Molina Marketplace We have a plan to keep you healthy. Access. Quality. Commitment. With the new Health Insurance Marketplace, you have a choice. Molina Healthcare is the answer. Here is why you should

More information

Review of Market Rules for the Commercial Market

Review of Market Rules for the Commercial Market Review of Market Rules for the Commercial Market What Makes up the Commercial Market? Individual Market Through MNSure and from carriers directly ( Off-Exchange ) Small Group Market Through MNSure s SHOP

More information

Health Matters. A Guide for Pre-65 Health Care Options. Important health plan information enclosed.

Health Matters. A Guide for Pre-65 Health Care Options. Important health plan information enclosed. Health Matters A Guide for Pre-65 Health Care Options Important health plan information enclosed. Why am I receiving this booklet? Understanding your health care coverage options is more complex than ever.

More information

Your Guide to Health Insurance Learn how to choose the best health plan

Your Guide to Health Insurance Learn how to choose the best health plan Your Guide to Health Insurance Learn how to choose the best health plan Why AmeriHealth New Jersey AmeriHealth New Jersey is the only health insurer focused solely on the state of New Jersey. We live here.

More information

Patient Protection and Affordable Care Act (ACA) ACA Guide for Group Employers Employer Information

Patient Protection and Affordable Care Act (ACA) ACA Guide for Group Employers Employer Information Patient Protection and Affordable Care Act (ACA) ACA Guide for Group Employers Employer Information DISCLAIMER 2 This information is being provided in an effort to alert you to changes required by the

More information

OVERVIEW OF PRIVATE INSURANCE MARKET REFORMS IN THE PATIENT PROTECTION AND AFFORDABLE CARE ACT AND RESOURCES FOR FREQUENTLY ASKED QUESTIONS

OVERVIEW OF PRIVATE INSURANCE MARKET REFORMS IN THE PATIENT PROTECTION AND AFFORDABLE CARE ACT AND RESOURCES FOR FREQUENTLY ASKED QUESTIONS OVERVIEW OF PRIVATE INSURANCE MARKET REFORMS IN THE PATIENT PROTECTION AND AFFORDABLE CARE ACT AND RESOURCES FOR FREQUENTLY ASKED QUESTIONS Brief Prepared by MATTHEW COKE Senior Research Attorney LEGISLATIVE

More information

5Want to know more about the health

5Want to know more about the health www. WHAT S INSIDE STEPS TO UNDERSTANDING OBAMACARE Introduction 4 Step 1 Does your current health insurance plan need to change? 6 Step 2 How will you pay for health insurance in 2014? 10 Step 3 What

More information

or vertical applications)

or vertical applications) or vertical applications) Health care reform is on many of our minds. After all, the Affordable Care Act (ACA), will be in full swing by January 2014. But many people still have questions about what the

More information

Health Insurance Shopper s Guide Information to help you choose a health plan for you and your family.

Health Insurance Shopper s Guide Information to help you choose a health plan for you and your family. Health Insurance Shopper s Guide Information to help you choose a health plan for you and your family. who needs Nobody knows the future. But you can plan for it and protect yourself and your family with

More information

Your Guide to Health Insurance How to Choose the Best Health Plan LEARN

Your Guide to Health Insurance How to Choose the Best Health Plan LEARN Your Guide to Health Insurance How to Choose the Best Health Plan LEARN Table of Contents Health insurance basics 2 Understanding health insurance 3 Health care law and you 4 Types of networks and health

More information

The Affordable Care Act in New Hampshire

The Affordable Care Act in New Hampshire The State of New Hampshire Insurance Department 21 South Fruit Street, Suite 14 Concord, NH 03301 (603) 271-2261 Fax (603) 271-1406 TDD Access: Relay NH 1-800-735-2964 The Affordable Care Act in New Hampshire

More information

Presentation for Licensed Producers The Affordable Care Act

Presentation for Licensed Producers The Affordable Care Act Presentation for Licensed Producers The Affordable Care Act Bruce Donaldson, CHC Producer & Stakeholder Specialist Arkansas Insurance Department Affordable Care Act The ACA was passed by Congress and signed

More information

Health Care Law & You

Health Care Law & You Health Care Law & You How to get the most out of your health care dollars 2014 Independence Blue Cross Independence Blue Cross is an independent licensee of the Blue Cross and Blue Shield Association.

More information

Patient Protection and Affordable Care Act (ACA) ACA Guide for Group Employers Agent and Broker Information

Patient Protection and Affordable Care Act (ACA) ACA Guide for Group Employers Agent and Broker Information Patient Protection and Affordable Care Act (ACA) ACA Guide for Group Employers Agent and Broker Information DISCLAIMER 2 This information is being provided in an effort to alert you to changes required

More information

Informational Series. Community TM. Glossary of Health Insurance & Medical Terminology. (855) 624-6463 HealthOptions.

Informational Series. Community TM. Glossary of Health Insurance & Medical Terminology. (855) 624-6463 HealthOptions. Informational Series Glossary of Health Insurance & Medical Terminology How to use this glossary This glossary has many commonly used terms, but isn t a full list. These glossary terms and definitions

More information

State of Wisconsin / OFFICE OF THE COMMISSIONER OF INSURANCE

State of Wisconsin / OFFICE OF THE COMMISSIONER OF INSURANCE State of Wisconsin / OFFICE OF THE COMMISSIONER OF INSURANCE Scott Walker, Governor Theodore K. Nickel, Commissioner Wisconsin.gov 125 South Webster Street P.O. Box 7873 Madison, Wisconsin 53707-7873 Phone:

More information

Affordable Care Act Toolkit

Affordable Care Act Toolkit Affordable Care Act Toolkit for Businesses with less than 50 employees Choose coverage that fits. Form No. 3-1018 (07-14) Small Groups The Affordable Care Act Blue Cross of Idaho prepared this toolkit

More information

HealthyBlue PPO $1500 Coverage Period: 01/01/2014-12/31/2014

HealthyBlue PPO $1500 Coverage Period: 01/01/2014-12/31/2014 HealthyBlue PPO $1500 Coverage Period: 01/01/2014-12/31/2014 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual Plan Type: PPO This is only a summary. If you

More information

INDIVIDUAL HEALTH INSURANCE In Maine

INDIVIDUAL HEALTH INSURANCE In Maine A Consumer s Guide To... INDIVIDUAL HEALTH INSURANCE In Maine Published by: The Maine Bureau of Insurance September 2015 Paul R. LePage Governor Eric A. Cioppa Superintendent Basics of Individual Health

More information

Covered Services: All plans offered on the Marketplace cover 10 Essential Health Benefits:

Covered Services: All plans offered on the Marketplace cover 10 Essential Health Benefits: Introduction The NY State of Health 2015 Plan Compare provides information about health plans offered on the Individual Marketplace. Here's some general information to get you started. Metal Levels: Plans

More information

Welcome to the KASA webinar series!

Welcome to the KASA webinar series! Welcome to the KASA webinar series! Today s topic: What Youth Leaders and Millennials Need to Know about Health Insurance and the Affordable Care Act Presenter: Erin Hemlin, Young Invincibles Hosted by:

More information

The Vermont Health Benefit Exchange: An Update for Small Business Owners

The Vermont Health Benefit Exchange: An Update for Small Business Owners The Vermont Health Benefit Exchange: An Update for Small Business Owners Today s Presentation Health Reform Goals Overview of Health Care Reform What is the Exchange? What Does the Exchange Look Like?

More information

Choosing the Best Plan for You: A Tool for Purchasing Coverage in the Health Insurance Exchange

Choosing the Best Plan for You: A Tool for Purchasing Coverage in the Health Insurance Exchange Choosing the Best Plan for You: A Tool for Purchasing Coverage in the Health Insurance Exchange The Affordable Care Act (ACA) makes health insurance available to nearly all Americans and the law requires

More information

Boston College Student Blue PPO Plan Coverage Period: 2015-2016

Boston College Student Blue PPO Plan Coverage Period: 2015-2016 Boston College Student Blue PPO Plan Coverage Period: 2015-2016 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual and Family Plan Type: PPO This is only a

More information

Health plans for individuals and families

Health plans for individuals and families 2015 Health Plan Information Health plans for individuals and families + Choosing the right plan for you + Subsidy eligibility information + Plan comparison charts + Terms and definitions + How to enroll

More information

Covered Services: All plans offered on the Marketplace cover 10 Essential Health Benefits:

Covered Services: All plans offered on the Marketplace cover 10 Essential Health Benefits: Introduction The NY State of Health 2015 Plan Compare provides information about health plans offered on the Individual Marketplace. Here's some general information to get you started. Metal Levels: Plans

More information

Michigan Electrical Employees Health Plan Benefits & Eligibility-at-a Glance Supplement to Medicare - Medicare Enrollees

Michigan Electrical Employees Health Plan Benefits & Eligibility-at-a Glance Supplement to Medicare - Medicare Enrollees Medicare Coverage BCBSM Supp Coverage Preventive Services 12 months, if age 50 and older Colonoscopy - one per calendar year 1 0 years (if at high risk every 24 months) approved amount**, once per flu

More information

Blue Care Elect Preferred 90 Copay Coverage Period: on or after 09/01/2015

Blue Care Elect Preferred 90 Copay Coverage Period: on or after 09/01/2015 Blue Care Elect Preferred 90 Copay Coverage Period: on or after 09/01/2015 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual Only Plan Type: PPO This is only

More information

State of Wisconsin / OFFICE OF THE COMMISSIONER OF INSURANCE

State of Wisconsin / OFFICE OF THE COMMISSIONER OF INSURANCE State of Wisconsin / OFFICE OF THE COMMISSIONER OF INSURANCE Scott Walker, Governor Theodore K. Nickel, Commissioner Wisconsin.gov 125 South Webster Street P.O. Box 7873 Madison, Wisconsin 53707-7873 Phone:

More information

State of Wisconsin / OFFICE OF THE COMMISSIONER OF INSURANCE

State of Wisconsin / OFFICE OF THE COMMISSIONER OF INSURANCE State of Wisconsin / OFFICE OF THE COMMISSIONER OF INSURANCE Scott Walker, Governor Theodore K. Nickel, Commissioner Wisconsin.gov 125 South Webster Street P.O. Box 7873 Madison, Wisconsin 53707-7873 Phone:

More information

Health Care Reform Overview How Will People with Hepatitis Benefit?

Health Care Reform Overview How Will People with Hepatitis Benefit? Health Care Reform Overview How Will People with Hepatitis Benefit? A N N E D O N N E L L Y, H E A L T H C A R E P O L I C Y, P R O J E C T I N F O R M R A C H E L M C L E A N, A D U L T V I R A L H E

More information

Health plans for individuals and families

Health plans for individuals and families 2015 Health Plan Information Health plans for individuals and families + Choosing the right plan for you + Subsidy eligibility information + Plan comparison charts + Terms and definitions + How to enroll

More information

How To Compare Health Insurance Plans

How To Compare Health Insurance Plans The three most important questions you need to ask Health care can be very expensive. Having a baby costs about $30,000, and so does the average three-day hospital stay. Health insurance is a way to reduce

More information

Health Insurance A GUIDE TO UNDERSTANDING, GETTING AND USING HEALTH INSURANCE. The. HL-14-001 Rev. 08/2015

Health Insurance A GUIDE TO UNDERSTANDING, GETTING AND USING HEALTH INSURANCE. The. HL-14-001 Rev. 08/2015 A GUIDE TO UNDERSTANDING, GETTING AND USING HEALTH INSURANCE The of Health Insurance wahealthplanfinder.org 1-855-WAFINDER 1-855-923-4633 HL-14-001 Rev. 08/2015 THE ABC S OF HEALTH INSURANCE: WHY IS HEALTH

More information

Affordable Care Act Resource Guide

Affordable Care Act Resource Guide Affordable Care Act Resource Guide for Businesses with fewer than 50 employees Effective October 29, 2015 Form No. 3-1018 (11-15) The information in this document is a general overview of the rules, regulations

More information

Affordable Care Act (ACA) Health Insurance Exchanges and Medicaid Expansion

Affordable Care Act (ACA) Health Insurance Exchanges and Medicaid Expansion Affordable Care Act (ACA) Health Insurance Exchanges and Medicaid Expansion Table of Contents Expanded Coverage... 2 Health Insurance Exchanges... 3 Medicaid Expansion... 8 Novartis Pharmaceuticals Corporation

More information

Health Reform and the AAP: What the New Law Means for Children and Pediatricians

Health Reform and the AAP: What the New Law Means for Children and Pediatricians Health Reform and the AAP: What the New Law Means for Children and Pediatricians Throughout the health reform process, the American Academy of Pediatrics has focused on three fundamental priorities for

More information

Affordable Care Act Toolkit

Affordable Care Act Toolkit Affordable Care Act Toolkit for Individuals and Families Choose coverage that fits. Form No. 3-1017 (07-14) Individuals and Families Healthcare Reform What does it mean for you? The following outline

More information

Health Insurance Marketplace

Health Insurance Marketplace Health Insurance Marketplace & Arkansas Health Connector Published by the City of Pine Bluff, Human Resources Department ** Federal Mandate ** The Affordable Care Act, a new healthcare law, requires that

More information

Your Health Insurance: Questions and Answers

Your Health Insurance: Questions and Answers Your Health Insurance: Questions and Answers This simple guide will help you understand how to use and keep your health insurance Meet four people with questions about their health insurance: George is

More information

The Healthcare Law April 19, 2010

The Healthcare Law April 19, 2010 The Healthcare Law April 19, 2010 This healthcare bill, recently made law, is a comprehensive overhaul that increases coverage to 94% of Americans and makes sweeping changes to our current healthcare system.

More information

Q. My company already offers employee health coverage, how does the law impact me?

Q. My company already offers employee health coverage, how does the law impact me? Frequently Asked Questions Q. Will my business be required to provide employee health insurance under the health care law? A. The law does not mandate employers provide employees health care coverage.

More information

HMO Blue Basic Coinsurance Coverage Period: on or after 01/01/2015

HMO Blue Basic Coinsurance Coverage Period: on or after 01/01/2015 HMO Blue Basic Coinsurance Coverage Period: on or after 01/01/2015 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual and Family Plan Type: HMO This is only

More information

The SHOP Marketplace. New Health Insurance Options for Small Businesses. August 2013

The SHOP Marketplace. New Health Insurance Options for Small Businesses. August 2013 The SHOP Marketplace New Health Insurance Options for Small Businesses August 2013 What is the SHOP Marketplace? SHOP = Small Business Health Options Program A new, streamlined way for small employers

More information

Washington Health Benefit Exchange. Leading Age 2014 Annual Conference. Phil Dyer Board Member

Washington Health Benefit Exchange. Leading Age 2014 Annual Conference. Phil Dyer Board Member Washington Health Benefit Exchange Leading Age 2014 Annual Conference Phil Dyer Board Member DISCLAIMER; The views and information expressed are my personal opinions and perspectives and do not represent

More information

Important Questions Answers Why this Matters: What is the overall deductible?

Important Questions Answers Why this Matters: What is the overall deductible? This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at http://knowyourbenefits.dfa.ms.gov or by calling 1-866-586-2781.

More information

The Medicaid Expansion Act (ACA) - Questions to Ask

The Medicaid Expansion Act (ACA) - Questions to Ask A statewide, grassroots campaign to improve the health and wellbeing of Texans ACA Boot Camp 2013 Legislative Session Cheasty Anderson, CPPP anderson@cppp.org Texas Well and Healthy Collaborative campaign

More information

health insurance Why It s Important & What You Need to Know

health insurance Why It s Important & What You Need to Know health insurance Why It s Important & What You Need to Know HEALTH INSURANCE: WHY IT S IMPORTANT & WHAT YOU NEED TO KNOW Worry Less: Protect Your Health and Your Wallet No one plans to get sick or hurt,

More information

How To Get Health Insurance For College

How To Get Health Insurance For College MCPHS University Health Insurance Program Information Beginning September 1, 2015 Health Services MCPHS University students on the Boston campus have access to the Massachusetts College of Art and Design

More information

health insurance Why It s Important & What You Need to Know

health insurance Why It s Important & What You Need to Know health insurance Why It s Important & What You Need to Know If you do not have health insurance: Fixing a broken arm can cost up to $7,500 The average cost of a 3-day hospital stay is around Worry Less:

More information

Understanding the ObamaCare Health Insurance Plans in North Carolina Understanding Insurance and Affordable Care Act Terminology: ACA- Marketplace

Understanding the ObamaCare Health Insurance Plans in North Carolina Understanding Insurance and Affordable Care Act Terminology: ACA- Marketplace Understanding the ObamaCare Health Insurance Plans in North Carolina As a result of the Affordable Care Act (a.k.a. ObamaCare) the following provisions are now in place for health insurance policies with

More information

Copayment: The amount you must pay for each medical visit to a participating doctor or other healthcare provider, usually at this time service.

Copayment: The amount you must pay for each medical visit to a participating doctor or other healthcare provider, usually at this time service. Basic Terms How to calculate Out of Pocket Costs on a Hospital Stay: If you have a $2000 deductible and 30% coinsurance health insurance plan. If you have a $10,000 emergency room or hospital stay your

More information

The Vermont Health Benefit Exchange: An Update

The Vermont Health Benefit Exchange: An Update The Vermont Health Benefit Exchange: An Update Today s Discussion Health Reform Goals & Timeline Overview of Health Care Reform What is the Exchange? What Does the Exchange Look Like? Plan Design Enrollment

More information

THE AFFORDABLE CARE ACT IN VIRGINIA --THE BASICS-- MARY FRANCES CHARLTON Attorney and ACA Coordinator LEGAL AID JUSTICE CENTER

THE AFFORDABLE CARE ACT IN VIRGINIA --THE BASICS-- MARY FRANCES CHARLTON Attorney and ACA Coordinator LEGAL AID JUSTICE CENTER THE AFFORDABLE CARE ACT IN VIRGINIA --THE BASICS-- MARY FRANCES CHARLTON Attorney and ACA Coordinator LEGAL AID JUSTICE CENTER Overview Affordable Care Act, aka Obamacare Goals Affordable Insurance Coverage

More information

MCPHS University Health Insurance Program Information

MCPHS University Health Insurance Program Information MCPHS University Health Insurance Program Information Beginning September 1, 2014 Health Services MCPHS University students on the Boston campus have access to the Massachusetts College of Art and Design

More information

Covered California 101

Covered California 101 Covered California 101 Do you have auto insurance? Reasons why you should: If your car gets in an accident you won t be able to drive to work. It s the law. Do you have health insurance? Reasons why you

More information