Which of the following is not used in the Affordable Care Act to describe a benefit level based on the amount of cost sharing?
Asked by: Erika Waters | Last update: April 1, 2025Score: 4.4/5 (10 votes)
Which of the following is not required under the Affordable Care Act?
Final answer: Under the Affordable Care Act, mandated coverage for elective cosmetic procedures is not a requirement.
Which of the following is a benefit of 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. Some plans cover more services.
Which of the following is not considered to be a type of defined health benefit plan?
Medical Savings Account (MSA) is not considered a type of defined health benefits plan. It is a savings account meant for paying healthcare expenses and is usually associated with high-deductible health plans.
Which of the following is considered to be a major feature of the Affordable Care Act?
The ACA also prohibits annual and lifetime limits on the dollar amount of coverage and restricts the amount of out-of-pocket costs individuals and families may incur each year for in-network care. Additionally, the law requires most health plans to cover preventive health services with no out-of-pocket costs.
How to Qualify for ACA Health Insurance Subsidies as an Early Retiree
What is not included in the Affordable Care Act?
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 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.
What is not included under a health benefit plan?
Key Takeaways. Health insurance typically covers most doctor and hospital visits, prescription drugs, wellness care, and medical devices. Most health insurance will not cover elective or cosmetic procedures, beauty treatments, off-label drug use, or brand-new technologies.
Which of the following is not a defined benefit plan?
The retirement plans that are not considered as defined benefit plans include the 401(k), Roth IRA, and Traditional IRA. Defined benefit plans provide a set benefit upon retirement, generally based on salary and years of service. These typically include pensions offered by employers.
Which of the following is not a benefit of insurance quizlet?
Which of the following is NOT a benefit of insurance? "Losses due to fraud are eliminated" is NOT a benefit of insurance.
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 is one requirement of the Affordable Care Act?
Insurance companies have to spend at least 80% of your premium dollars on actual medical expenses, not overhead and profit.
Which is not one of the three primary goals of the Affordable Care Act?
Therefore, the correct answer to which of the following is not a goal of the ACA is increasing the rates for those insured already, as the ACA aims to make healthcare more accessible and affordable, not to increase the rates for those who are already insured.
Who does not support the Affordable Care Act?
The Patient Protection and Affordable Care Act (ACA) was passed by a Democratic Congress and signed into law by a Democratic president in 2010. Republican congressmen, governors, and Republican candidates have consistently opposed the ACA and have vowed to repeal it.
Which of the following does the Affordable Care Act do?
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 considered affordable under the Affordable Care Act?
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.
What are the requirements for a defined benefit plan?
Defined Benefit Plans generally require the employer to make annual contributions. The amount required is equal to the value of benefit increases for the year plus a 15-year amortization of any unfunded liabilities. If the Plan is overfunded, there is no amortization.
What is considered a benefit plan?
A defined benefit plan promises a specified monthly benefit at retirement. The plan may state this promised benefit as an exact dollar amount, such as $100 per month at retirement.
Which of the following is not a component of pension expense?
Final answer: Amortization of projected benefit obligation is not a component of pension expense; the components include service cost, interest, expected return on plan assets, and recognition of gains and losses.
What is not considered an essential health benefit under the Affordable Care Act?
Pursuant to 45 CFR 156.115(d), the following benefits are excluded from EHB even though an EHB-benchmark plan may cover them: routine non-pediatric dental services (for plan years beginning on or before January 1, 2026), routine non-pediatric dental services, routine non-pediatric eye exam services, long-term/custodial ...
What is not a covered benefit?
Both private and public health insurance plans can deny coverage for a service on the grounds that it is “not a covered benefit.” This type of denial means that, according to your health insurance plan, your member benefits do not include the requested service and you are responsible to pay for the service.
Which is not covered by any part of Medicare?
We don't cover these routine items and services: Routine or annual physical checkups (visit Medicare Wellness Visits to learn about exceptions). exams required by third parties, like insurance companies, businesses, or government agencies. Eye exams for prescribing, fitting, or changing eyeglasses.
Which of the following is not a consumer protection component of the Affordable Care Act?
Final answer: The correct answer is C. Lifetime and annual limits is not a consumer protection component of the Affordable Care Act (ACA).
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) ...
What does the Affordable Care Act cover?
The ACA requires insurance plans to cover preventive care such as immunizations; preventive care for children; screening for certain adults for conditions such as high blood pressure, high cholesterol, diabetes, and cancer; and a public education campaign for oral health.