Many Alaskans have healthcare coverage through new individual and small group plans created to comply with the federal healthcare reform (also known as the Affordable Care Act or ACA). Healthcare reform makes federal subsidies available to qualified individuals and families to help them pay for their coverage.
These changes may have an effect on your patients. It’s important that you and your staff understand the benefits and requirements of these new plans.
The ACA’s new rules will primarily affect people who:
The Exchange marketplace is one of the key components of the Affordable Care Act and opened to the public on Oct. 1, 2013. Here are some frequently asked questions about Healthcare Reform and Exchanges.
Extension of Non-Grandfathered Plans
On Nov. 14, 2013, President Obama announced a proposal to allow non-grandfathered members in the individual and small group markets to keep their current plans. States could choose to implement the change or not. Alaska’s Department of Insurance (DOI) decided to allow these changes, so we are extending our current individual plans until the end of 2014 at their current rates. We are also offering an option to our small group customers in Alaska to allow them to keep their current plans until the end of 2014, but we are still finalizing the details with the DOI.
Here are some frequently asked questions about Healthcare Reform and Exchanges.
Grandfathered plans are health insurance plans that existed before March 23, 2010 (the day the Affordable Care Act became law). They may be exempt from following certain provisions present in the Affordable Care Act.
Grandfathered plans: Preventive Screenings list
Many preventive services received in-network are covered with no member cost share.
Non-grandfathered plans: Preventive Care Services
Grandfathered plans: Preventive Screenings List
The new law requires that some preventive services must be covered without copayments or co-insurance to meet deductibles when delivered by a network provider. This applies to all individual and small group plans that are non-grandfathered. For a list of covered preventive services under the law, please visit HealthCare.gov.
All individual, small-group, and non-grandfathered plans (existed after March 23, 2010) including those offered through the Exchange, must cover the following 10 essential health benefit categories:
Below are a few helpful links for more information about healthcare reform and the Exchange.