Thursday, November 7, 2013

What is Obamacare?

The website healthcare.gov still only works intermittently.  Admittedly, its better, but it was down last night when I tried. 

Meanwhile, as the demonization of the law continues, I thought it might be useful to recap what exactly Obamacare does:
  • It prevents insurance companies from discriminating based on age, gender or preexisting conditions
  • It makes it illegal for insurance companies from cancelling your insurance because you are sick
  • It mandates that you must be able to pick your primary care physician and Ob Gyn
  • It mandates that kids can stay in their parents' plans till age 26
  • It guarantees emergency care coverage
  • It guarantees that there is no lifetime cap on your coverage - i.e. you can't be denied just because your treatment is too expensive
  • It guarantees free preventive care - i.e. vaccinations, wellness visits, etc.
  • It forces insurance companies to cap costs - only 20% of the total cost of insurance can be for non medical expenses
  • It standardizes disclosures to make it easy for insurance plans can be compared
  • It guarantees your right to appeal
  • It standardizes plans ensuring that every plan covers:
    • Ambulance
    • Emergencies
    • Hospital care
    • Maternity and newborn care
    • Mental health and substance abuse
    • Prescription drugs
    • Rehabilitation services
    • Laboratory services
    • Preventive, wellness and chronic disease management
    • Pediatric services
  • It creates health exchanges where you can compare and buy plans.
  • It says, if you don't buy insurance, you have to pay $96 in taxes every year to cover the government's costs.
  • It provides Medicare assistance based on income for poor people who can't afford the plan (but the Supreme Court has given states the right to opt out of this relief program)
  • It mandates that employers with more than 50 employees should pay for their employees' healthcare (i.e. it says that if you can afford to have 50 employees, you have a responsibility to pay the employee enough to be able to afford insurance).
I listed these because in my limited experience, I have been unable to find anyone who has a major objection to any of these.  In fact, most people are surprised that these would need to be in a law.

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