The Patient Protection and Affordable Care Act

What is the Affordable Care Act?

The Affordable Care Act (Or ACA) is a law designed to provide Americans with access to affordable health insurance, regardless of their current health.  Through the ACA, we have been able to establish minimum value of insurance and help regulate the health insurance industry by reducing healthcare spending in the United States.

Highlights of the ACA

  • You can NOT be denied coverage due to a pre-existing condition (unless you have a “grandfathered-in” plan)
  • Young adults may stay on their parent’s plans up to the age of 26
  • Ends lifetime limits on coverage
  • Premium dollars must be spent primarily on healthcare, not administrative costs – further, insurance companies must justify premium increases
  • Preventative care is covered at no cost to you
  • You can seek emergency care at a hospital outside of your health plan’s network
  • You can choose the primary care physician you want from your plan’s network of doctors
  • Certain individuals will qualify for a tax credit to help pay for monthly premiums

Source: http://www.hhs.gov/healthcare/rights/index.html

What is the Marketplace in my home state?

The Marketplace serves as a central portal for people to access and learn more about the different health insurance availabilities within their State.  All health insurance plans are provided by private insurance companies; depending on where you live you may have access to different plans.  In the Wake County area, the three carriers are Blue Cross Blue Shield of NC (BCBSNC), United Healthcare of NC (UHC), and Coventry One of NC.  We encourage patients as well as community members to learn what marketplace is available in their individual states by visiting HealthCare.gov

Click Here To Learn More About Enrolling