What is one requirement of the Affordable Care Act?
Asked by: Emory Friesen DDS | Last update: November 28, 2025Score: 4.8/5 (64 votes)
What is one requirement of the Affordable Care Act answers?
The Affordable Care Act (ACA) requires most Americans to have qualifying health insurance called "minimum essential coverage." Under the ACA's individual shared responsibility provision (also known as the "individual mandate"), most Americans must maintain minimum essential coverage.
What is one requirement of the Affordable Care Act Quizlet?
The Affordable Care Act's individual mandate clause required people to obtain minimum necessary coverage or pay a tax penalty, unless they qualified for an exemption.
What is one requirement of the Affordable Care Act (Apex) brainly?
Final answer:
One key requirement of the Affordable Care Act is that insurance companies must insure individuals regardless of their health status, thereby preventing denial of coverage due to preexisting conditions. This requirement helps spread risk and addresses adverse selection.
What are the three main features of the Affordable Care Act?
- Make affordable health insurance available to more people. ...
- Expand Medicaid 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.
ACA 101: A Comprehensive Guide to the Affordable Care Act
What is required by 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.
What is one component of the Affordable 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.
What is the ACA affordability requirement?
2025 Affordability Percentage Set at 9.02%
The IRS has issued Revenue Procedure 2024-35, which increases the affordability threshold for ACA employer mandate purposes to 9.02% for plan years beginning in 2025.
What is the Affordable Care Act best characterized as?
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.
What is one requirement of the Affordable Care Act that insurance companies must ensure people even if they are sick?
C - Insurance companies must insure people even if they are sick. Before the Affordable Care Act, insurance companies could turn people away if they were sick or had a pre-existing condition. Now insurance companies must insure them.
What was one of the main goals of the Affordable Care Act?
Make affordable health insurance available to more people. 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).
What is the individual mandate under the Affordable Care Act apex?
The individual mandate was a provision within the ACA that required individuals to purchase what's known as "minimum essential coverage" or face a tax penalty, unless they were eligible for an exemption. Mandate supporters argued that a penalty would increase the number of people who had health insurance.
What are 5 of the essential health benefits provided by the Affordable Care Act?
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) ...
Which was a requirement of the Affordable Care Act quizlet?
The individual responsibility provision of the Affordable Care Act, also known as the individual mandate, requires people who can afford to buy health insurance to do so, or else they must pay a penalty.
What are the ACA requirements for employers?
Employers must offer health insurance that is affordable and provides minimum value to 95% of their full-time employees and their children up to the end of the month in which they turn age 26, or be subject to penalties. This is known as the employer mandate.
What should be added to the Affordable Care Act?
Improving insurance affordability
“Specifically, the 400% federal poverty level (FPL) premium tax credit eligibility cap should be eliminated, and the amount of premium tax credits for all income levels should be enhanced.”
Which is one requirement of the Affordable Care Act?
One provision contained in the law is known as the “individual mandate” which requires that all Americans (regardless of age) be covered by health insurance (through a group or individual plan) or pay an annual financial penalty assessed by the Internal Revenue Service, unless waived under certain limited circumstances ...
What is the biggest problem with the Affordable Care Act?
Impact on Individual Insurance
It was also known that consumers would face a very different health insurance world under the ACA, with some people seeing their premiums go down and some seeing them go up, and the majority of Americans seeing higher deductibles, higher copays, and a smaller pool of providers.
What is true about Affordable Care Act?
The law will result in health insurance coverage for about 94% of the American population, reducing the uninsured by 31 million people, and increasing Medicaid enrollment by 15 million beneficiaries. Approximately 24 million people are expected to remain without coverage.
What coverage is required by 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 ...
Can I refuse health insurance from my employer and get Obamacare?
Obamacare is available to everyone, whether or not their employers offer insurance. From a practical standpoint, though, there are financial consequences to doing this. Often, an employer subsidizes part or all of their employees' coverage.
What is the affordability rule?
A simple formula—the 28/36 rule
Here's a simple industry rule of thumb: Housing expenses should not exceed 28 percent of your pre-tax household income. That includes your monthly principal and interest payments, plus additional expenses such as property taxes and insurance.
What are three main points 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 ...
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 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.