Wednesday, March 24, 2010

Immediate Effects of the Health Care Reform Act: March 2010

Immediate effects of the health care reform act signed this week: March 2010

Health Insurers cannot deny children health insurance because of pre-existing conditions. A ban on the discrimination in adults will take effect in 2014

Businesses with fewer than 50 employees will get tax credits covering up to 50% of employee premiums

Seniors will get a rebate to fill the so-called "donut hole" in Medicare drug coverage, which severely limits prescription medication coverage expenditures over $2,700. As of next year, 50 percent of the donut hole will be filled.

The cut-off age for young adults to continue to be covered by their parents' health insurance rises to the age 27.

Lifetime caps on the amount of insurance an individual can have will be banned. Annual caps will be limited, and banned in 2014.

A temporary high-risk pool will be set up to cover adults with pre-existing conditions. Health care exchanges will eliminate the program in 2014.

New plans must cover checkups and other preventative care without co-pays. All plans will be affected by 2018

Insurance companies can no longer cut someone when he or she gets sick.

Insurers must now reveal how much money is spent on overhead.

Any new plan must now implement an appeals process for coverage determinations and claims.

New screening procedures will be implemented to help eliminate health insurance fraud and waste.

Medicare payment protections will be extended to small rural hospitals and other health care facilities that have a small number of Medicare patients.

Non-profit Blue Cross organizations will be required to maintain a medical loss ratio -- money spent on procedures over money incoming -- of 85 percent or higher to take advantage of IRS tax benefits.

The bill establishes a temporary program for companies that provide early retiree health benefits for those ages 55-64 in order to help reduce the often-expensive cost of that coverage.

The Secretary of Health and Human Services will set up a new Web site to make it easy for Americans in any state to seek out affordable health insurance options The site will also include helpful information for small businesses.

A two-year temporary credit (up to a maximum of $1 billion) is in the bill to encourage investment in new therapies for the prevention and treatment of diseases.

1 comment:

  1. Several people do not have to be concerned about forking over for their personal health related expenses or about purchasing insurance policy simply because they dwell in countries where their government authorities consider health care of individuals. Nevertheless, for the rest of people, we are better off selecting into a health and fitness insurance coverage plan, such as a group health insurance plan. But how do you acquire into a particular of most of these plans and exactly what are they?

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