With the passage of the Affordable Care Act on March 23, 2010 the entire healthcare industry in the United States changed forever. Several years after the passage of the Affordable Care Act, many of our clients continue to ask the same question, “How do I choose a health plan”? Although the Affordable Care Act was supposed to make choosing a health plan easier for Americans, the co-insurance for “High Cost and infrequent Services” such as hospitalization has made choosing the right plan as confusing as ever.
We’ve put together a few short videos to help you understand the different plan options, some of the challenges in the costs associated with “High Cost and infrequent Services”, and ultimately how to choose the plan that may best suit your needs.
With the passage of the Affordable Care Act, all private health insurance plans offered in the Marketplace are required to cover 10 essential health benefits:
Ambulatory patient services (outpatient care you get without being admitted to a hospital)
Hospitalization (such as surgery)
Maternity and newborn care (care before and after your baby is born)
Mental health and substance use disorder services, including behavioral health treatment (this includes counseling and psychotherapy)
Rehabilitative and habilitative services and devices (services and devices to help people with injuries, disabilities, or chronic conditions gain or recover mental and physical skills)
Preventive and wellness services and chronic disease management
With health insurance companies offering similar plan benefits, the primary differentiation between plans comes down to doctor networks and covered medical facilities.