What are the 10 essential health benefits of the ACA?

Asked by: Lavonne Keebler  |  Last update: August 4, 2022
Score: 4.8/5 (13 votes)

The Affordable Care Act requires non-grandfathered health plans in the individual and small group markets to cover essential health benefits (EHB), which include items and services in the following ten benefit categories: (1) ambulatory patient services; (2) emergency services; (3) hospitalization; (4) maternity and ...

What is included in the essential health benefits?

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. Plans must offer dental coverage for children. Dental benefits for adults are optional.

What are the benefits of the Affordable Healthcare Act?

The ACA has helped millions of Americans gain insurance coverage, saved thousands of lives, and strengthened the health care system. The law has been life-changing for people who were previously uninsured, have lower incomes, or have preexisting conditions, among other groups.

What are the 8 important provisions of the Affordable Care Act ACA )?

The Affordable Care Act: A Brief Summary - March 2011
  • Expand Access to Insurance Coverage. ...
  • Increase Consumer Insurance Protections. ...
  • Emphasize Prevention and Wellness. ...
  • Improve Health Quality and System Performance. ...
  • Curb Rising Health Costs.

What are two major benefits of the Affordable Care Act?

Summary: The Affordable Care Act is generating major benefits for our economy by expanding access to affordable insurance coverage and reforming our health care delivery system to reduce costs and improve quality.

What are the 10 Essential Benefits of the Affordable Care Act?

34 related questions found

What does minimum essential coverage include?

Minimum essential coverage, also called qualifying health coverage, is any health plan that meets Affordable Care Act (ACA) requirements for having health coverage. Qualifying plans include marketplace insurance, job-based health plans, Medicare, Medicaid and the Children's Health Insurance Program (CHIP).

What are non essential health benefits?

Examples include mental health and substance abuse treatment, maternity and newborn care, and preventive and wellness services (such as a flu shot). Before the ACA, many plans offered limited coverage in some areas to keep costs down.

What were three key items of the Patient Protection and Affordable Care Act?

The law has 3 primary goals:
  • Make affordable health insurance available to more people. ...
  • Expand the Medicaid program to cover all adults with income below 138% of the FPL. ...
  • Support innovative medical care delivery methods designed to lower the costs of health care generally.

What does the Affordable Care Act not cover?

Long-term care: You will need to pay for long-term care if you become disabled or need to move to a nursing home. It's not an essential health benefit under the Affordable Care Act and is not covered by Medicare or most private health plans. Abortion: Abortion is not one of the essential health benefits.

Which of the following requires health insurance companies to cover 10 essential health benefits?

The Affordable Care Act requires that certain health insurance plans include coverage for 10 “essential health benefits.” Those covered benefits include hospital services, prescription drugs, pregnancy care, and childbirth.

What are some of the benefits in the passage of the Affordable Care Act quizlet?

The act was enacted to expand coverage, hold insurance companies more accountable, lower healthcare costs, give people more choice for insurance, and increase the quality of healthcare/ health insurance.

Which of the following is a benefit of the Affordable Care Act quizlet?

Increases benefits and lower costs for consumers, bolster our health care and public health workforce and infrastructure, foster innovation and quality in our system. Covers preventative care at no cost to you, protects your choice of doctors, removes insurance company barriers to emergency services.

What term is used to describe the 10 statutory benefits considered to be essential to be provided by a qualified health plan?

Minimum Essential Coverage (MEC)

What health benefits are?

Health benefits (insurance), a payment received through a health insurance. Health benefit (medicine), the phenomenon that a food, substance or activity is improving health. Health claim, a usually unproven claim as to medical health benefits of food, etc.

What is meant by essential health care?

An Essential Package of Health Services (EPHS) can be defined as the package of services that the government is providing or is aspiring to provide to its citizens in an equitable manner.

What is wrong with the ACA?

The ACA set standards for “affordability,” but millions remain uninsured or underinsured due to high costs, even with subsidies potentially available. High deductibles and increases in consumer cost sharing have chipped away at the affordability of ACA-compliant plans.

How many essential benefit categories are there?

The Affordable Care Act requires non-grandfathered health plans in the individual and small group markets to cover essential health benefits (EHB), which include items and services in the following ten benefit categories: (1) ambulatory patient services; (2) emergency services; (3) hospitalization; (4) maternity and ...

What are the limitations of the Affordable Care Act?

According to HealthCare.gov, the limit for individuals in 2015 can be no more than $6,600 and for families, no more than $13,200. Out-of-pocket costs include your deductible, coinsurance, and any other fees you pay toward your plan.

What are the main features of the 2010 Patient Protection and Affordable Care Act ACA )?

2010
  • Putting Information for Consumers Online. ...
  • Prohibiting Denying Coverage of Children Based on PreExisting Conditions. ...
  • Prohibiting Insurance Companies from Rescinding Coverage. ...
  • Eliminating Lifetime Limits on Insurance Coverage. ...
  • Regulating Annual Limits on Insurance Coverage. ...
  • Appealing Insurance Company Decisions.

Why does the 2010 Affordable Care Act stand as one of the most important domestic policy plans in recent history Brainly?

Why does the 2010 Affordable Care Act stand as one of the most important domestic policy plans in recent history? It provides health care coverage for millions of Americans. A government provides citizens with a job-training program so more people can enter a new job field.

What are the major provisions of the Affordable Care Act ACA quizlet?

Affordable Care Act Provisions Include:
  • Individual mandate.
  • health insurance reforms.
  • Essential Health benefits.
  • Affordable insurance exchanges.
  • Premium Credits to Eligible Individuals and Families.
  • Employer Requirements.
  • Premium Subsidiaries to Small Employers.
  • Early retirement reinsurance program.

Are wigs considered an essential health benefit?

Due to the language in the state mandate, and for the purposes of this policy only, wigs are referred to as durable medical equipment/prosthesis. Qualified Health Plans (QHPs) are required to cover Essential Health Benefits (EHBs), as defined in Section 1302(b) of the Patient Protection and Affordable Care Act.

Which of the following are essential health benefits required by all qualified health plans quizlet?

Essential health benefits must include items and services within at least the following 10 categories: ambulatory patient services; emergency services; hospitalization; maternity and newborn care; mental health and substance use disorder services, including behavioral health treatment; prescription drugs; ...

Does Obamacare eliminate lifetime limits?

The Patient Protection and Affordable Care Act provides you and your family with new protections, programs and resources. This law eliminates lifetime dollar limits or annual dollar limits on the essential health care benefits you can receive under your plan.

What are minimum essential benefits?

Minimum essential coverage is a type of health insurance policy an individual needed to meet the shared responsibility provision under the Patient Protection and Affordable Care Act (ACA). Individuals who lacked minimum essential coverage previously were hit with a financial penalty.