What are 5 different types of government plans under the Affordable Care Act ACA?
Asked by: Filiberto Block | Last update: August 2, 2025Score: 4.8/5 (24 votes)
What are 5 mandated benefits under the ACA?
The 10 categories of benefits in an EHB package are: 1) ambulatory patient services, 2) emergency services, 3) hospitalization, 4) maternity and newborn care, 5) mental health and substance use disorder services, 6) prescription drugs, 7) rehabilitative and habilitative services and devices, 8) lab services, 9) ...
What are the five types of health insurance?
- Choose a Plan and Enroll. ...
- Fee-For-Service (FFS) plans generally use two approaches. ...
- Health Maintenance Organization (HMO) ...
- HMO Plans Offering a Point of Service (POS) Product. ...
- Consumer-Driven Health Plans (CDHP) ...
- High Deductible Health Plan (HDHP)
What are the 10 essential health benefits under the Affordable Care Act?
- Ambulatory patient services (outpatient services)
- Emergency services.
- Hospitalization.
- Maternity and newborn care.
- Mental health and substance use disorder services, including behavioral health treatment.
- Prescription drugs.
What is ACA government program?
The comprehensive health care reform law was enacted in March 2010. The law has 3 primary goals: Make affordable health insurance available to more people. The law provides consumers with subsidies (the “premium tax credit”) that lower costs for households with incomes between 100% and 400% of the. federal poverty ...
ACA 101: A Comprehensive Guide to the Affordable Care Act
What are ACA plans?
ACA health insurance
In most cases, ACA plans are subsidized by the Federal or State government, which typically leads to a lower monthly premium. These ACA plans are plans people can buy on their own, instead of through an employer or another government-run program, like Medicare or Medicaid.
What are the three main goals of the Affordable Care Act?
The ACA has three primary goals at its foundation, collectively known as the Triple Aim. The Triple Aim goals are: improve patient care, improve population health, and reduce the cost of health care.
How many categories are in the Affordable Care Act?
Marketplace plans are put into 4 categories (or "metal levels"): Bronze, Silver, Gold, and Platinum. Catastrophic plans are a 5th category available to people under 30 and some people with limited incomes. The categories have nothing to do with the quality of care you get in a plan.
What are the examples of the Affordable health care Act?
If you get sick, an insurance company cannot cancel your policy. Health insurance companies cannot turn down your application because of your health status. Women can no longer be charged more for insurance than men. In fact, insurance rates cannot be based on gender or gender identity at all.
Which medicare programs are covered by ACA?
Section 1557 of the Affordable Care Act (ACA) covers Medicare Part A, Medicare Part C, and Medicare Part D. It does not however cover Medicare Part B.
What are the types of government health insurance in the US?
What are government-sponsored health plans?
Government health care refers to the federal or state health insurance exchanges, commonly referred to as exchanges, that provide government subsidies to reduce the cost of insurance premiums. It also refers to government programs such as Medicare, Medicaid, TRICARE and VA Health Care.
What are the 4 most important insurances?
Most experts agree that life, health, long-term disability, and auto insurance are the four types of insurance you must have. Employer coverage is often the best option, but if that is unavailable, obtain quotes from several providers as many provide discounts if you purchase more than one type of coverage.
What is considered affordable coverage under ACA?
In 2025, a job-based health plan is considered "affordable" if your share of the monthly premium in the lowest-cost plan offered by the employer is less than 9.02% of your household income.
Which five benefits are mandated by law?
Medicare and social security, unemployment insurance, workers' compensation, health insurance, and family and medical leave are all benefits that the federal government requires businesses to provide.
Which of the following is considered the fifth plan the ACA created for health plans after the four metal plans?
Health coverage offered through Covered California comes in four “metal” levels and a fifth category for minimum coverage (catastrophic). The levels determine how much the member pays versus how much the health insurance company pays.
What is an Affordable Care Act plan?
The Affordable Care Act (ACA) is a comprehensive reform law, enacted in 2010, that increases health insurance coverage for the uninsured and implements reforms to the health insurance market. This includes many provisions that are consistent with AMA policy and holds the potential for a better health care system.
Is ACA the same as Obamacare?
“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.
What are the three main components of the Affordable Care Act?
The Patient Protection and Affordable Care Act (ACA) has 3 main objectives: (1) to reform the private insurance market—especially for individuals and small-group purchasers, (2) to expand Medicaid to the working poor with income up to 133% of the federal poverty level, and (3) to change the way that medical decisions ...
What are the 10 essential health benefits under the ACA?
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.
What are the four levels of coverage offered under the Affordable Care Act?
Under the Affordable Care Act (ACA), insurers will offer plans on the Marketplace that fit one of four levels of coverage: Bronze, Silver, Gold, and Platinum. Each plan level must cover the same “essential health benefits”: https://www.healthcare.gov/.
Who is not eligible for Obamacare?
Must live in the United States. Must be a U.S. citizen or national (or be lawfully present). Learn about eligible immigration statuses. Cannot be incarcerated in prison or jail.
How much is Obamacare a month for a single person?
Monthly premiums for Affordable Care Act (ACA) Marketplace plans vary by state and can be reduced by premium tax credits. The average national monthly health insurance cost for one person on an Affordable Care Act (ACA) plan without premium tax credits in 2024 is $477.
What are the three pillars of ACA?
1 The 3 pillars of the Affordable Care Act (ACA): access, quality, and cost.