What are the levels of coverage as defined by the Affordable Care Act quizlet?

Asked by: Taryn Goyette  |  Last update: August 3, 2023
Score: 4.2/5 (18 votes)

4 different levels of coverage. -Bronze (60/40) -Silver (70/30) -Gold (80/20) -Platinum (90/10)

What are the 4 key elements of the Affordable Care Act?

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 does the Affordable Care Act cover quizlet?

Covers preventative care at no cost to you, protects your choice of doctors, removes insurance company barriers to emergency services. Selects individuals with no health risks and denies patients with chronic diseases.

What are the levels of coverage as defined by the Affordable Care Act?

Under the Affordable Care Act (ACA) health plans will be required to provide four levels of coverage: bronze, silver, gold and platinum. In the exchanges, participating plans must offer, at a minimum, one silver and one gold plan. Each plan in each level must cover the same set of essential health benefits.

What are 3 parts of the 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.

HR Basics: Affordable Care Act

20 related questions found

Which of the following is a major provision of the Affordable Care Act quizlet?

Which of the following is a major provision of the Affordable Care Act? Requires that all new health plans cover certain preventive services, such as mammograms and colonoscopies, without charging a deductible, co-pay, or coinsurance.

What was one of the goals of the Affordable Care Act ACA quizlet?

The ACA was enacted with the goals of increasing the quality and affordability of health insurance, lowering the uninsured rate by expanding public and private insurance coverage, and reducing the costs of healthcare for individuals and the government.

What are the levels of insurance?

Key Takeaways
  • In the U.S., health insurance plans are offered in four actuarial levels: Bronze, Silver, Gold and Platinum.
  • Gold and Platinum plans pay more on average toward healthcare expenses, while Silver and Bronze plans pay less.

What is insurance coverage level?

Coverage Level means the Single Life Coverage insurance death benefit the Employee is eligible for under the Plan, determined based on the Employee's job classification, in accordance with the schedule of Coverage Levels maintained by the Plan Administrator.

What are metal levels?

Levels of plans in the Health Insurance Marketplace®: Bronze, Silver, Gold, and Platinum. Categories (sometimes called “metal levels”) are based on how you and your insurance plan split costs. Categories have nothing to do with quality of care. (“Catastrophic” plans are available to some people.)

Which of the following is a main component of the Affordable Care Act ACA )?

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 is the Affordable Care Act summary?

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.

How many provisions are in the Affordable Care Act?

The Affordable Care Act (ACA) is divided into 10 titles and contains provisions that became effective immediately, 90 days after enactment, and six months after enactment, as well as provisions phased in through to 2020.

What are characteristics of health insurance under the Affordable Care Act quizlet?

What are characteristics of health insurance under the Affordable Care Act? The government regulates the health care plans offered on health exchanges. Health exchanges help individuals obtain the coverage they need. People who have an income below certain levels are eligible for government subsidies.

What are 4 main types of coverage and insurance?

Nevertheless, there are four types of insurance that most financial experts recommend everybody have: life, health, auto, and long-term disability.
...
  • Life Insurance. Life insurance provides for your family if you unexpectedly die. ...
  • Health Insurance. ...
  • Long-Term Disability Coverage. ...
  • Auto Insurance.

What does coverage tier mean?

Coverage Tier or “Tier” means the type of contract offered to a Subscriber. Sample 1. Coverage Tier means the plan benefits categorized by persons covered as follows: single; member plus spouse/partner; parent- child(ren); or family.

What are the 3 limits of insurance policies?

Types of Insurance Policy Limits

Per-person limits: The maximum amount an insurer will pay for one person's claims. Combined limits: A single limit that can be applied to several coverage types. Aggregate limits: The total amount that can be paid out for all claims during a period (often a year).

What are the 5 types of health insurance?

Different Types of Health Insurance in India
  • Individual Health Insurance. An Individual Health Insurance plan is meant for a single person. ...
  • Family Health Insurance. ...
  • Critical Illness Insurance. ...
  • Senior Citizen Health Insurance. ...
  • Top Up Health Insurance. ...
  • Hospital Daily Cash. ...
  • Personal Accident Insurance. ...
  • Mediclaim.

What do the metal levels mean in insurance?

The metal levels are used to indicate how much medical cost a health insurer covers. A more “expensive” metal, such as gold or platinum, means the insurer pays a higher share of the cost of a given service or supply. A less expensive metal, such as bronze or silver, means the consumer pays more of the cost.

How many plan categories are there?

Plans in the Marketplace are primarily separated into 4 health plan categories — Bronze, Silver, Gold, or Platinum — based on the percentage the plan pays of the average overall cost of providing essential health benefits to members.

What is the major focus of the 2010 Patient Protection and Affordable Care Act quizlet?

The Patient Protection and Affordable Care Act (ACA) was signed by President Obama on March 23, 2010. The focus of the program is three-fold: to expand Medicaid, to preserve both Medicare and employer/job-based insurance coverage, and to promote state control of insurance markets.

Which is characteristic of the Patient Protection and Affordable Care Act?

The law provides numerous rights and protections that make health coverage more fair and easy to understand, along with subsidies (through “premium tax credits” and “cost-sharing reductions”) to make it more affordable. The law also expands the Medicaid program to cover more people with low incomes.

Which of the following is true of the Patient Protection and Affordable Care Act quizlet?

Which of the following is true of the Patient Protection and Affordable Care Act (PPACA)? It requires individuals not covered by an employer policy to purchase health insurance from a state health care exchange.

Which of the following provisions of the Patient Protection and Affordable Care Act is not true?

Which of the following is NOT true regarding the Affordable Care Act? It does not enact a guaranteed-issue requirement that prohibits insurance companies from denying coverage to those with preexisting conditions.

What is one of the rules the ACA set for insurance companies quizlet?

an affordable care act provision that requires that all americans and legal residents buy health coverage no matter how sick and regardless of any pre-existing health problems.