Individual, Group & Medicare Healthcare Insurance.
We have posted on these EHB’s before. But the 10 (ten) essential health benefits are the cornerstone to the ACA. (HHS on the ACA)
Under the new rules set out by the ACA all new major medical health insurance policies must provide ten essential health benefits (“EHBs”). These are minimum coverage requirements that all insurance plans must meet. The ten EHBs that all plans must cover are:
Note that just because plans are required to provide all these essential health benefits doesn’t mean that these treatments will be cheap. Health insurance plans can have individual deductibles as high as $6,350 and family deductibles as high as $12,700, meaning that if you go to the hospital you could end up paying that much on your own before the insurance company starts to pay anything. Individuals and families that qualify for cost-sharing reduction are in luck as they will have lower deductibles and out of pocket maximums on silver plans – see this article for more about that.
Note we are looking to work with Health Sherpa to make it easier to purchase on marketplace plans. (as of 08/2014)
LINKS
HHS –Key features of ACA (from the Health & Human Services (HHS) , part of our government)
HHS – Time line for the ACA
HHS – Texas info
Gov’t – Link to the ACA law (document)
KFF – Summary of the ACA ( a very reputable source) and the full text of the law, once again.
KFF – Search of ” Essential Health Benefits’
Wikipedia – on the ACA
Wikipedia – Acronyms in healthcare
Wikipedia – Time line for the ACA (provisions)