ACA Health Insurance vs Short Term Health Insurance (Part 1)
In the health insurance market, there are Affordable Care Act health insurance options, and there are Short Term health insurance options. If you are searching for a quality health insurance plan, you may have come across an issue that you may find perplexing.
As both ACA and short term health plan options are considered health insurance plans, what are the differences between the two options? What are the advantages and disadvantages of each option, when they are compared? These are the type of questions that you will need to have answers to if
you want to find a quality health insurance plan the fits your needs and budget. Having a good understanding of the differences of these two types of health insurance plans could save you in monthly premium cost. Not having a good understanding of these issues could end up being a costly mistake.
Good to know: Before purchasing a health plan, ask questions. Call the member services department of the health plan you're considering and ask: Which doctors, hospitals, clinics or pharmacies participate in the plan? How much does it cost to go out of network? Am I covered during a travel emergency? What is the premium and out-of-pocket costs? What is the most I'll have to pay out of my own pocket to cover expenses? Exactly what benefits are covered by the plan and what isn't covered? How are disputes about a bill or service handled? Then verify the information you were given by comparing it to the plan's benefit details.
ACA Health Insurance
ACA health insurance plans (Affordable Care Act health insurance plans), first came into existence when the first part of the comprehensive health care reform law was enacted on March 23, 2010. (The law was amended by the Health Care and Education Reconciliation Act on March 30, 2010.
Full implementation occurred on January 1, 2014, when the individual and employer responsibility provisions took effect, state health insurance Exchanges began to operate, the Medicaid expansions took effect, and the individual and small-employer group subsidies began to flow.)
The law provided numerous rights and protections that make health coverage comparatively fair and easy to understand. The Law also allows for subsidies (through "premium tax credits" and "cost-sharing reductions") to make monthly ACA premiums more affordable.
The law also expands the Medicaid program to cover more people with low incomes.
Good to know:
Many plans don't provide drug benefits, or discounts, even on generics, until you reach your deductible, which is often in the thousands of dollars. Instead of just accepting your insurance plan's lousy prescription drug benefit, try using websites such as Blinkhealth.com
to shop around for the best price for your medication in your area.
The Affordable Care Act contains certain rights and protections that are mandated by law. These rights and protections minimize the coverage exclusions that plagued most previous health insurance plan options. Affordable Care Act health insurance plans are the most comprehensive health
insurance coverage you can purchase today. Rights and protections of ACA laws apply to all ACA health insurance plans. Consequently, the policy benefits of each Affordable Care Act plan are largely the same. Generally, ACA plans are differentiated by the deductible amount, the office
copay, and percentage of shared costs that the policy holder is responsible for, for medical services. This makes ACA health insurance plan benefits easier for the average consumer to understand.
If you qualify for an ACA health insurance plan, there are no pre-existing medical exclusions to prevent you from purchasing the plan. If you qualify financially, you could receive a subsidy that would reduce the monthly premium of your plan. In Addition, there is no lifetime maximum benefit limiting any Affordable Care Act plan.
Coming soon: ACA Health Insurance vs Short Term Health Insurance (Part 2)
Other articles: Is Short-Term Health Insurance Right For You?
Finding Short-Term Health Insurance.