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Stay Informed!

Stay Informed!. What you need to know about health care reform May 2012. Health Insurance Costs Are TOO High!. PROBLEM:. What does the Affordable Care Act (ACA) do for you?. Lowers the cost of individual & small business health insurance Improves the quality of health care

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Stay Informed!

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  1. Stay Informed! What you need to know about health care reform May 2012

  2. Health Insurance Costs Are TOO High! PROBLEM:

  3. What does the Affordable Care Act (ACA) do for you? • Lowers the cost of individual & small business health insurance • Improves the quality of health care • Makes health care more accessible

  4. Am I Required to have health insurance? 2014 $95/ year 2016 $695/ year • All individuals MUST be enrolled in a health insurance plan by 2014 that meets basic minimum standards, as set by the government • This can include Medicaid • If you don’t have health insurance, you will have to pay a fee* *Waivers are available under certain conditions, such as religious beliefs

  5. Do you qualify? • Lawfully present individuals must buy health insurance (individual mandate) • May buy health insurances in state exchanges or qualify for Medicaid • May qualify for federal assistance if <400 Federal Poverty Level (FPL) • Individual: Annual income <$44,680 • Family of Four: Annual income <$92,200

  6. Expands Care 26 By 2014, all pre-existing Conditions, lifetime Coverage caps and annual Limits are banned Dependent coverage is extended to age 26

  7. Benefits for Women • Ban on lifetime coverage limits • Allow adult children up to age 26 to join or remain on a parent’s health plan • Phased-in ban on annual limits • Pre-existing Condition • Insurance Plan • Preventive services coverage without copay • $250 rebate for Medicare • beneficiaries in Part D • Medicaid expansion • State insurance exchanges • Insurance market reforms, including no rating on gender • Premium and cost sharing credits for exchange plans • Employer shared responsibility penalties • Phased-in ban on annual limits • Better coverage and lower cost on brand name prescription drugs for Medicare beneficiaries in Part D 2014 2010 2011- 2013

  8. What’s Covered? Mammograms Vision Care Pregnancy Annual Wellness Visits Breastfeeding Support Colonoscopies Vaccinations Newborn Care Mental Health Services Substance Abuse Services

  9. Health Exchange = New Market to Buy Insurance!

  10. How Can I get Health Insurance?

  11. Need More Information? • www.IllinoisHealthMatters.org • www.HealthCare.gov • Asian and Pacific Islander American Health Forum (http://www.apiahf.org/) • Kaiser Family Foundation • Implementation Timeline: (http://healthreform.kff.org/timeline.aspx) • Healthcare Hits Main Street Video http://www.youtube.com/watch?feature=player_embedded&v=3-Ilc5xK2_E

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