Healthcare Reform
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- Q What if my doctor writes a prescription during a preventive care visit?
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Prescriptions and medications, regardless of the purpose, are not covered as a preventive care service. Certain procedures may not be fully covered under some benefit plans. Check your health plan regarding your coverage of services. To learn... Full Answer
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- Q What is healthcare reform?
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Health care reform began as a concept focused on overhauling the American health care system to lower health care costs, provide greater access to health care and enhance the quality of care Americans receive. On March 23, 2010, President Obama signed... Full Answer
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- Q What is the new healthcare law?
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The health care reform law, also known as the Patient Protection and Affordable Care Act (PPACA), was created to help lower health care costs, provide greater access to health care, and enhance the health care delivery system for Americans. It was signed... Full Answer
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- Q Does the healthcare law affect my children?
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The health care reform law includes provisions designed to ensure that people can obtain and keep their health insurance, regardless of their health status or other factors. Health plans that provide coverage for dependents are required to extend the... Full Answer
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- Q How do I add my adult child to my plan?
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To add an adult dependent to your health insurance plan, contact your employer’s plan administrator, or follow your insurer’s enrollment processes. These typically include online, phone, or paper enrollment options. For more information on... Full Answer
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- Q What are coverage rules for dependents under the healthcare reform law?
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Plans that provide dependent coverage have to extend coverage for dependents to age 26. Plans must provide coverage even if the dependent is eligible for other insurance coverage. This includes dependents who: are not enrolled in school; are not... Full Answer
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- Q What is the grandfathered plan provision?
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Individual and group coverage that was in effect on March 23, 2010, is exempt from some of the key requirements of the health care reform law. Some of the exemptions include: They do not have to cover preventive care at 100 percent. They do not have to... Full Answer
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- Q What are the rules for pre-existing condition exclusions?
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Under the Patient Protection and Affordable Care Act (PPACA), group health plans may no longer apply pre-existing condition rules to enrollees under age 19. (Enrollees include employees, spouses or dependents.) Pre-existing condition exclusions... Full Answer
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- Q How are emergency services covered under the healthcare reform law?
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The health care reform law, also known as the Patient Protection and Affordable Care Act (PPACA), prohibits non-grandfathered group health plans from requiring prior approval for emergency care, whether in-network or out-of-network. For more information... Full Answer
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- Q How do patient protections work?
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As a part of the patient protection provision, you: can choose any available participating primary care provider as your PCP; can select any available participating physician who specializes in... Full Answer
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