the law that changed the healthcare game
Our Guide to the Affordable Care Act
The Affordable Care Act puts consumers back in charge of their health care. Under the law, a new “Patient’s Bill of Rights” gives the American people the stability and flexibility they need to make informed choices about their health.
- Ends pre-existing condition exclusions for children: Health plans can no longer limit or deny benefits to children under 19 due to a pre-existing condition.
- Keeps young adults covered: If you are under 26, you may be eligible to be covered under your parent’s health plan.
- Ends arbitrary withdrawals of insurance coverage: Insurers can no longer cancel your coverage just because you made an honest mistake.
- Guarantees your right to appeal: You now have the right to ask that your plan reconsider its denial of payment.
You do not have to pay the fee if you get an exemption. If you ask for and are approved for an exemption, you will not have to pay a fee for not having health coverage. You might be able to get an exemption because of a special situation, like not having any affordable health insurance plans available to you, having only a short gap in coverage, or being eligible for services through the Indian Health Service.
Coverage to Care
Health coverage pays for provider services, medications, hospital care, and special equipment when you’re sick. It is also important when you’re not sick. Most coverage includes immunizations for children and adults, annual visits for women and seniors, obesity screening and counseling for people of all ages, and more for free. Keep your coverage by paying your monthly premiums (if you have them).