What is an example of ACA?

Asked by: Lora Luettgen MD  |  Last update: November 18, 2025
Score: 4.4/5 (5 votes)

For example, the ACA prohibits health plans from denying people coverage, charging them higher premiums, as well as rescinding or imposing exclusions to coverage due to preexisting health conditions.

What are some examples of ACA?

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.

What is considered ACA?

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.

What does the ACA include?

It applies to people aged 16 and over. It covers decisions about day-to-day things like what to wear or what to buy for the weekly shop, or serious life-changing decisions like whether to move into a care home or have major surgery. Examples of people who may lack capacity include those with: dementia.

Which of the following is an example of how ACA aims to protect an individual?

The ACA offers various consumer protections like limiting out-of-pocket expenses, prohibiting lifetime limits, and requiring qualified health plans to provide coverage for essential health benefits. It also offers premium tax credits to lower-income individuals.

ACA 101: A Comprehensive Guide to the Affordable Care Act

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What is one example of how the ACA will increase access to healthcare?

The ACA uses two primary approaches to increase access to health insurance: It expands access to Medicaid, based solely on income, for those with incomes up to 138% of the federal poverty level (FPL), and creates eligibility for those with incomes from 139% to 400% FPL to apply for subsidies [in the form of advance ...

What are the 3 purposes of the ACA?

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.

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 does the ACA feed?

To summarize, the ACA supplies the medial and superior parts of the frontal lobe, and the anterior parietal lobe. The short anterior communicating artery joins the two anterior cerebral arteries. It may allow collateral flow into the opposite hemisphere if the carotid artery is occluded on either side.

What does the ACA not cover?

What Benefits Does the Affordable Care Act Not Cover? The Affordable Care Act does leave two forms of insurance for adults out of its provisions — vision insurance and dental coverage. Although both of these services are considered essential benefits for children under the ACA, they are not included for adults.

What are the three levels of ACA?

It consists of three levels: Certificate, Professional, and Advanced. You'll also need to have 450 practical work experience days. It'll take around three years to complete the qualification.

Who is required to do ACA reporting?

If you have 50 or more full-time employees, including full-time equivalent employees, you are an applicable full-time employer and need to issue statements to employees and file an annual information return reporting whether and what health insurance you offered employees.

Why is the ACA important?

The ACA helps cut high U.S. health care costs.

The ACA helps reduce costs, and its reforms should be continued to reduce costs in the future. Health care spending represented 17.5 percent of our gross domestic product in 2014, and is expected to reach 20.1 percent by 2025.

What are ACA products?

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.

What are the three pillars of ACA?

1 The 3 pillars of the Affordable Care Act (ACA): access, quality, and cost.

What are ACA standards?

ACA standards guide operations in every area of the facility or agency. Secure facilities such as jails and prisons must operate effectively as self-contained communities in which all necessary goods and services are provided in a safe, secure, and controlled manner.

Who pays ACA tax?

The 3.8 percent Net Investment Income Tax applies to individuals, estates and trusts that have certain investment income above certain threshold amounts. For additional information on the Net Investment Income Tax, see our questions and answers.

What is the 9.5% rule for ACA?

The federal poverty line safe harbor generally treats coverage as affordable for a month if the employee required contribution for the month does not exceed 9.5 percent, adjusted annually, of the federal poverty line for a single individual for the applicable calendar year, divided by 12.

What are the 10 essential health benefits of the ACA?

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

Who is eligible for ACA benefits?

To be eligible to enroll in health coverage through the Marketplace, you must: Live in the United States (U.S). Be a U.S. citizen or national, or be lawfully present non-citizen in the U.S. Learn about eligible immigration statuses. Not be incarcerated.

Who is the ACA mandatory for?

Residents of California, Massachusetts, New Jersey, Rhode Island, and Washington, D.C. are required to buy health insurance or face a penalty, unless they have an exemption. Maryland and Vermont require residents to report their health insurance status but do not have a financial penalty for being uninsured.

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.

What are examples of healthcare reform?

Insurance reforms such as guaranteed issue, prohibiting pre-existing conditions as a disqualifier for insurance, retaining older children on parental health insurance, prohibiting lifetime limits on coverage, and cancelation of policies for those with expensive disorders and requirements for premium dollars actually ...