Does Aetna fall under the Affordable Care Act?

Asked by: Mr. Jadon Veum  |  Last update: October 10, 2023
Score: 4.8/5 (34 votes)

Our Affordable Care Act (ACA) individual & family plans have you covered. That's how healthier happens together.

What falls under the Affordable Care Act?

A set of 10 categories of services health insurance plans must cover under the Affordable Care Act. These include doctors' services, inpatient and outpatient hospital care, prescription drug coverage, pregnancy and childbirth, mental health services, and more. Some plans cover more services.

How do I know if I have insurance through the Affordable Care Act?

Check for Premium Tax Credits and Cost-Sharing Reductions

If you receive automatic financial help to pay for your coverage, you probably have an Obamacare plan. The ACA lets plan members apply for two types of assistance: premium tax credits and cost-sharing reductions.

What states is Aetna ACA in?

California, Delaware, Illinois and New Jersey providers: Aetna® to enter the individual exchange market. We're expanding! As previously shared, we re-entered the ACA exchanges in Arizona, Florida, Georgia, Missouri, Nevada, North Carolina, Texas and Virginia on January 1, 2022.

Which company bought Aetna?

2017: On December 3, 2017, CVS Health announced the acquisition of Aetna for $69 billion. Larry Merlo became chief executive of the two brands. Aetna CEO Mark Bertolini resigned and Aetna President Karen S. Lynch took over Aetna operations.

Aetna opts out of most Obamacare exchanges

41 related questions found

What company did Aetna merge with?

The CVS-Aetna merger was a horizontal and a vertical merger. In horizontal mergers, two competitors combine, and CVS-Aetna are significant competitors in numerous Medicare Part D geographic markets and also with respect to pharmaceutical benefit management (PBM) services.

What states benefit most from the ACA?

Southern States Have the Most Preexisting Conditions: West Virginia, Kentucky, Mississippi, Ohio, and Alabama have the largest population segments with preexisting conditions and therefore stand to benefit the most from the ACA's prohibition against health care coverage denial as a result of a preexisting condition.

How many states use ACA?

It's used in 33 states as of the 2023 coverage year. The other 17 states and the District of Columbia run their own exchanges. Over the years, there have been some changes, with a few states transitioning to HealthCare.gov and a few others transitioning away from HealthCare.gov and creating their own exchanges.

Which states run their own ACA exchanges?

States which currently use State-Based Health Insurance Marketplaces:
  • California – Covered California.
  • Colorado – Connect for Health Colorado.
  • Connecticut – Access Health CT.
  • District of Columbia – DC Health Link.
  • Idaho – Your Health Idaho.
  • Kentucky – Kynect (Kentucky Health Benefit Exchange)
  • Maine – CoverME.

Is everyone covered under the Affordable Care Act?

Everyone in California has access to health insurance. Pre-existing health conditions cannot deny anyone health coverage or extra charges. Children can be listed on their parent's health plan until they are 26 years of age.

What is the difference between Obamacare and the Affordable Care Act?

“Obamacare” and the “Affordable Care Act” are the SAME thing. A recent article in the New York Times reported survey results showing that one-third of the people surveyed did not know that “Obamacare” and the “Affordable Care Act” refer to the same law. So? Even more people – more than 60 percent!

Is the Affordable Care Act ACA or Obamacare?

The comprehensive health care reform law enacted in March 2010 (sometimes known as ACA, PPACA, or “Obamacare”). A measure of income issued every year by the Department of Health and Human Services (HHS).

Who supports the Affordable Care Act?

Views of the ACA are still largely driven by partisanship: nearly nine in ten Democrats (87%) along with six in ten independents (58%) view the law favorably, while eight in ten Republicans (79%) hold unfavorable views.

What are the two main parts of the Affordable Care Act?

The law has 2 parts: the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act.

Is Affordable Care Act based on income?

Under the Affordable Care Act, eligibility for subsidized health insurance is calculated using a household's Modified Adjusted Gross Income (MAGI). You are expected to pay a premium contribution limit (a percentage of your annual income) for healthcare coverage.

Which states do not participate in the Affordable Care Act?

Wyoming, Kansas, Texas, Wisconsin, Tennessee, Mississippi, Alabama, Georgia, South Carolina and Florida have yet to adopt the expansion of Medicaid, leaving over 2.1 million people in the “coverage gap” — meaning they fall into the income level that would make them eligible for Medicaid but cannot access it because ...

What is the highest income to qualify for Medicaid?

Federal Poverty Level thresholds to qualify for Medicaid

The Federal Poverty Level is determined by the size of a family for the lower 48 states and the District of Columbia. In 2023 these limits are: $14,580 for a single adult person, $30,000 for a family of four and $50,560 for a family of eight.

Which state has the best healthcare marketplace?

  • Hawaii. #1 in Health Care Access. #31 in Best States Overall. ...
  • Connecticut. #2 in Health Care Access. ...
  • Massachusetts. #3 in Health Care Access. ...
  • Rhode Island. #4 in Health Care Access. ...
  • New Hampshire. #5 in Health Care Access. ...
  • Pennsylvania. #6 in Health Care Access. ...
  • Iowa. #7 in Health Care Access. ...
  • Vermont. #8 in Health Care Access.

Is the Affordable Care Act different in every state?

The ACA set out to provide health insurance to more uninsured adults across the country, regardless of their income, state, or health status. However, premium costs, expanded Medicaid services, and plan availability may differ from state to state.

How does the Affordable Care Act work?

About the Affordable Care Act

The law provides consumers with subsidies (“premium tax credits”) that lower costs for households with incomes between 100% and 400% of the federal poverty level (FPL). Expand the Medicaid program to cover all adults with income below 138% of the FPL.

Is Medicare Advantage part of ACA?

Is Medicare Advantage Part of ObamaCare? Medicare isn't part of the Affordable Care Act (ObamaCare) neither is supplemental Medigap insurance nor Medicare Advantage plans. You won't shop for your coverage through the marketplace.

Did CVS buy out Aetna?

CVS closes $69B acquisition of Aetna in a 'transformative moment' for the industry. Aetna is now officially part of CVS Health. The two companies closed the $69 billion deal on Wednesday, finishing off a vertical merger that makes one of the largest healthcare giants even larger.

Why did CVS take over Aetna?

Expanded Services as a Competitive Edge.

The deal would leverage CVS' 9,700 storefronts and 1,100 MinuteClinics. By focusing on preventative care and minimizing hospital services, which drives at least 70% of medical costs, the total cost of care can be minimized and differentiate them in the market.

Does Aetna insurance have another name?

Remember, Aetna and Coventry are the same company, so you and your patients may see either name or logo on the communications we send to you. We're always working to improve your experience. So if you have any questions or concerns, please call us. You can reach us at the number on your patients' ID cards.