stay informed!
DESCRIPTION
Stay Informed!. What you need to know about health care reform May 2012. Health Insurance Costs Are TOO High!. PROBLEM:. What does the Affordable Care Act (ACA) do for you?. Lowers the cost of individual & small business health insurance Improves the quality of health care - PowerPoint PPT PresentationTRANSCRIPT
![Page 1: Stay Informed!](https://reader036.vdocuments.mx/reader036/viewer/2022081511/568168a2550346895ddf393d/html5/thumbnails/1.jpg)
STAY
INFORMED
!
WHAT YOU NEED TO KNOW ABOUT
HEALTH CARE REFORM
May 2012
![Page 2: Stay Informed!](https://reader036.vdocuments.mx/reader036/viewer/2022081511/568168a2550346895ddf393d/html5/thumbnails/2.jpg)
PROBLEM:Health
Insurance Costs Are TOO
High!
![Page 3: Stay Informed!](https://reader036.vdocuments.mx/reader036/viewer/2022081511/568168a2550346895ddf393d/html5/thumbnails/3.jpg)
o Lowers the cost of individual & small business health insurance
o Improves the quality of health careo Makes health care more accessible
WHAT DOES THE AFFORDABLE CARE ACT (ACA) DO FOR YOU?
![Page 4: Stay Informed!](https://reader036.vdocuments.mx/reader036/viewer/2022081511/568168a2550346895ddf393d/html5/thumbnails/4.jpg)
AM I REQUIRED TO HAVE HEALTH INSURANCE?o All individuals MUST be enrolled in a
health insurance plan by 2014 that meets basic minimum standards, as set by the governmento This can include Medicaid
o If you don’t have health insurance, you will have to pay a fee*
*Waivers are available under certain conditions, such as religious beliefs
2014$95/year
2016$695/year
![Page 5: Stay Informed!](https://reader036.vdocuments.mx/reader036/viewer/2022081511/568168a2550346895ddf393d/html5/thumbnails/5.jpg)
DO YOU QUALIFY?o Lawfully present individuals must
buy health insurance (individual mandate)
o May buy health insurances in state exchanges or qualify for Medicaid
o May qualify for federal assistance if <400 Federal Poverty Level (FPL)o Individual: Annual income <$44,680o Family of Four: Annual income <$92,200
![Page 6: Stay Informed!](https://reader036.vdocuments.mx/reader036/viewer/2022081511/568168a2550346895ddf393d/html5/thumbnails/6.jpg)
EXPANDS CAREBy 2014, all pre-existing Conditions, lifetime Coverage caps and annual Limits are banned
Dependent coverage is extended to age 2626
![Page 7: Stay Informed!](https://reader036.vdocuments.mx/reader036/viewer/2022081511/568168a2550346895ddf393d/html5/thumbnails/7.jpg)
BENEFITS FOR WOMEN Ban on lifetime
coverage limits Allow adult
children up to age 26 to join or remain on a parent’s health plan
Phased-in ban on annual limits
Pre-existing ConditionInsurance Plan
Preventive services coverage without copay
$250 rebate for Medicarebeneficiaries in Part D
Phased-in ban on annual limits
Better coverage and lower cost on brand name prescription drugs for Medicare beneficiaries in Part D
Medicaid expansion
State insurance exchanges
Insurance market reforms, including no rating on gender
Premium and cost sharing credits for exchange plans
Employer shared responsibility penalties
2010 2011- 2013 2014
![Page 8: Stay Informed!](https://reader036.vdocuments.mx/reader036/viewer/2022081511/568168a2550346895ddf393d/html5/thumbnails/8.jpg)
WHAT’S COVER
ED?Mammograms
Vis ion CarePregnancy
Annual Wel lness Vis i tsBreastfeeding Support
ColonoscopiesVaccinat ions
Newborn CareMental Health Services
Substance Abuse Services
![Page 9: Stay Informed!](https://reader036.vdocuments.mx/reader036/viewer/2022081511/568168a2550346895ddf393d/html5/thumbnails/9.jpg)
Health Exchange = New Market to Buy Insurance!
![Page 10: Stay Informed!](https://reader036.vdocuments.mx/reader036/viewer/2022081511/568168a2550346895ddf393d/html5/thumbnails/10.jpg)
HOW CAN I GET HEALTH INSURANCE?
![Page 11: Stay Informed!](https://reader036.vdocuments.mx/reader036/viewer/2022081511/568168a2550346895ddf393d/html5/thumbnails/11.jpg)
NEED MORE INFORMATION?o www.IllinoisHealthMatters.orgo www.HealthCare.govo Asian and Pacific Islander American Health
Forum (http://www.apiahf.org/)o Kaiser Family Foundation
o Implementation Timeline: (http://healthreform.kff.org/timeline.aspx)
o Healthcare Hits Main Street Video http://www.youtube.com/watch?feature=player_embedded&v=3-Ilc5xK2_E