(Many provisions of the Affordable Health Care Act have already kicked in before full implementation of the law which takes effect in 2014.)
Locked out of medical care, that is. Who? Individuals with pre-existing conditions. Now, 50,000 of them have healthcare coverage via the Pre-Existing Condition Insurance Plan (PCIP) in their state. This is a temporary high-risk health insurance program that makes healthcare not only available but much more affordable.
For example, a patient named Deborah fell victim to a back injury. It left her unemployed and unable to afford health insurance premiums. However, when she discovered the Michigan PCIP plan, she was able to enroll in it, receive the back surgery she needed and get on the road to recovery.
PCIP makes a difference. It has allowed many Americans to get connected to health insurance and receive the medical care they sorely need. That’s because PCIP enrollees can receive that care immediately.
The way it works is that states have the option of operating this new program in their state. However, if a state has chosen not to do so, the Department of Health and Human Services has established a plan in that state. This insurance serves as a bridge to 2014. That’s when all discrimination against pre-existing conditions will be prohibited.
You can see how your state administers PCIP with either their own program or one established by the Department of Health and Human Services by clicking on the link below.
Insurance up to Age 26
Another plus of the Affordable Health Care Act that has been in effect since 2010 is where young adults are allowed to remain on their parent’s health plan until they turn 26 (unless the young adult is offered insurance at work).
Health Care Premium Expenses
Effective on January 1st, 2011, the law requires that at least 85% of the premium collected by insurance companies administering large employer plans be spent on health care services and quality improvement for health care.
For individual and small employer plans, 80% of the premiums must be spent on improving health care services.
It this provision is not met, rebates must be given to consumers.
Discount Prescription Drugs for Seniors
Also In 2011, seniors who reach the coverage gap will receive a 50 percent discount when they buy Medicare Part D covered brand-name prescription drugs.
Over the next ten years and until the coverage gap is closed in 2020, seniors will receive additional savings on generic and brand-name drugs.
Sunni Patterson is an accomplished marketing professional and entrepreneur. She is an expert at developing on and offline marketing strategies.
She works with RMK 123, a medical billing and revenue management firm. As such, she possesses a strong knowledge of that part of the healthcare field. Sunni used that to create Medical Bill and Claim Resolution . Sunni and her staff assist patients who need assistance interpreting their medical bills, disputing erroneous charges and understanding insurance claims decisions.