Posts Tagged health care reform insurance affordable premium increase

Adjusted Community Rating under PPACA

Adjusted Community Rating under PPACA is explained here, what Employers and Individuals need to know.

For more information for Individuals CLICK HERE OR For Employers CLICK HERE

Individuals NEED TO Click here for important information as it relates to the ACR, how you might qualify to save money before the end of 2013.

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Taxes & Fees under PPACA Healthcare Reform

This is an overview of the Penalties, Taxes, Fees, and other items that need to be considered and calculated by individuals and businesses as it relates to the Provisions and mandates under the Patient Protection and Affordable Care Act PPACA.

For more information for Individuals CLICK HERE OR For Employers CLICK HERE

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Essential Health Benefits under Healthcare Reform PPACA

Below in the BOX is a list of resources that you can use to understand what “EHB” or Essential Health Benefits are and how they work, who is respondible for providing them and who is exempt.

For more information for Individuals CLICK HERE OR For Employers CLICK HERE

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Minimum Loss Ratio’s Under PPACA

Check out this folder below for resources that explain what the MLR (Minimum Loss Ratios) are and how they can affect you, your company.

For more information for Individuals CLICK HERE OR For Employers CLICK HERE

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Grandfathering Under the Affordable Care Act

Grandfathering Under the Affordable Care Act

For more information for Individuals CLICK HERE OR For Employers CLICK HERE

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Appeals under the Affordable Care Act

Appeals under the Affordable Care Act

For more information for Individuals CLICK HERE OR For Employers CLICK HERE

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Summary of Benefits and Coverage under the Affordable Care Act

Summary of Benefits and Coverage under the Affordable Care Act

For more information for Individuals CLICK HERE OR For Employers CLICK HERE or check out the BOX documents below for more resources on this topic.

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Preventive Care Available under the Affordable Care Act

Preventive Care Available under the Affordable Care Act

For more information for Individuals CLICK HERE OR For Employers CLICK HERE check out the resources in the BOX folder below as well.

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Why Healthcare Reform – An Overview

Why Healthcare Reform – An Overview

For more information for Individuals CLICK HERE OR For Employers CLICK HERE

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If You Like Your Health Care Plan, You Can Start Beating Your Head Against the Wall Now

Obama Promises Made Promises Broken

Obama Promises Made Promises Broken

If you like your health care plan, tough luck – if you’re on a Medicare prescription drug plan:
More than 3 million seniors may have to switch their Medicare prescription plan next year, even if they’re perfectly happy with it, thanks to an attempt by the government to simplify their lives.

The policy change could turn into a hassle for seniors who hadn’t intended to switch plans during Medicare’s open enrollment season this fall.

And it risks undercutting President Barack Obama’s promise that people who like their health care plans can keep them….”As a result of this policy, there are going to be fewer plans offered in 2011,” said Bonnie Washington, a senior analyst with Avalere Health, which produced the study.

If you like your health care plan, better luck next time – if you’re a college student:

Along comes word that the bill “could make it impossible for colleges and universities to continue to offer student health plans.” That’s how the American Council on Education and a dozen other higher-ed lobbies put it in a recent letter to the Obama Administration, warning that the insurance coverage they offer may get junked by ObamaCare’s decrees.

Between 4.5 million to 5.5 million students annually are insured by short-term plans sponsored by their schools, which are tailored to upperclassman who have aged out of their parents’ coverage or to international and graduate students. These plans are very low cost because the benefits are designed for generally healthy young people and often organized around campus health services and academic medical centers.

All of which means these plans aren’t likely to qualify under ObamaCare’s “minimal essential coverage” rules that mandate rich benefit packages, even if colleges have the flexibility to make exceptions for special needs. And given that insurance must now be sold anytime to everyone, colleges may be required to continue to cover students after they’ve graduated-leaving this type of coverage unaffordable.

If you like your health care plan, cross your fingers and hope you’ll like your new one better – if your employer sponsored plan doesn’t meet the law’s strict grandfathering requirements:

While many U.S. companies initially hoped they could preserve much of their existing group health plans under the new grandfather provision, a new survey by Hewitt Associates, a global human resources consulting and outsourcing company, shows that almost all now believe they will not. Ninety percent of companies said they anticipate losing grandfathered status by 2014, with the majority expecting to do so in the next two years.

Under the “grandfather” provision of the U.S. Patient Protection and Affordable Care Act, companies can maintain many of their current health care coverage provisions and are required to make fewer changes to plan documents and administrative procedures in order to comply with the new law. Companies can lose their grandfather status if they take certain steps such as reducing benefits, significantly raising co-payment charges, significantly raising deductibles or changing insurance carriers.

According to Hewitt’s survey of 466 companies–representing 6.9 million employees–most companies expect to lose grandfather status because of health plan design changes (72 percent) and/or changes to company subsidy levels (39 percent).

None of this is exactly surprising—at least if you’ve been paying attention. Any health system overhaul as sweeping as the PPACA was bound to upset existing coverage arrangements, especially given the dominance of insurance in American health care. But given how disastrous the possibility of forced plan changes proved to HillaryCare in the 90s, the law’s supporters couldn’t admit that. So President Obama and congressional leadership and the progressive activist class had to promise, repeatedly, that no one would have to change plans if they didn’t want to.

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Please watch this… some insight on what is going on in Healthcare.

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