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The The Health Care Health Care Law Law and and

The Health Care Law and. Insurance companies could take advantage of you and turn away the 129 million Americans with pre-existing conditions. Premiums

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Page 1: The Health Care Law and. Insurance companies could take advantage of you and turn away the 129 million Americans with pre-existing conditions. Premiums

TheTheHealth Care Health Care LawLawandand

Page 2: The Health Care Law and. Insurance companies could take advantage of you and turn away the 129 million Americans with pre-existing conditions. Premiums

• Insurance companies could take advantage of you and turn away the 129 million Americans with pre-existing conditions.

• Premiums had more than doubled over the last decade.

• Tens of millions were underinsured, and 50 million Americans had no insurance at all.

• Insurers charged women up to 50 percent more forcoverage that didn’t even cover their basic needs.

The Problem

Page 3: The Health Care Law and. Insurance companies could take advantage of you and turn away the 129 million Americans with pre-existing conditions. Premiums

In March 2010, President Obama signed into law theAffordable Care Act.

The Health Care Law

Page 4: The Health Care Law and. Insurance companies could take advantage of you and turn away the 129 million Americans with pre-existing conditions. Premiums

• Ends the worst insurance company abuses

• Makes health insurance more affordable

• Strengthens Medicare

• Provides better options for coverage

What the Law Means for You: 4 Things to Know

Page 5: The Health Care Law and. Insurance companies could take advantage of you and turn away the 129 million Americans with pre-existing conditions. Premiums

TODAY, it is illegal for insurance companies to:

• Put a lifetime cap on how much care they will pay for if you get sick.

• Cancel your coverage when you get sick by finding a mistake on your paperwork.

• And more…

The Law Stops Insurance Companiesfrom Taking Advantage of You

Page 6: The Health Care Law and. Insurance companies could take advantage of you and turn away the 129 million Americans with pre-existing conditions. Premiums

“Low Health Insurance Caps Leave Patients Stranded”

-- USA Today

“WellPoint Routinely Targets Breast Cancer Victims for Rescission”

-- The Huffington Post

The Law Stops Insurance Companiesfrom Taking Advantage of You

Page 7: The Health Care Law and. Insurance companies could take advantage of you and turn away the 129 million Americans with pre-existing conditions. Premiums

The law makes it illegal to deny coverage to children because of a pre-existing condition like asthma or diabetes.

“My son Wesley has an eye condition called strabismus, and I’d been worried because we already had one insurer drop us and another exclude Wesley’s condition from coverage. Then, as the new patient protections under health reform began to take effect, we finally had the option of buying affordable health insurance without any exclusions for

pre-existing conditions for Wesley.”

--Dawn J. in Florida

The Law Keeps Your Children Healthy

Page 8: The Health Care Law and. Insurance companies could take advantage of you and turn away the 129 million Americans with pre-existing conditions. Premiums

Cancer screenings such as mammograms & colonoscopies Vaccinations such as flu, mumps & measles Blood pressure screening Cholesterol screening Tobacco cessation counseling and interventions Depression screening And more…

Visit www.healthcare.gov/prevention for a full list.

The Law Makes Health Insurance More Affordable

In many cases, you can get preventive services for free:

Page 9: The Health Care Law and. Insurance companies could take advantage of you and turn away the 129 million Americans with pre-existing conditions. Premiums

Free preventive services for women include:

Well Woman Visits All FDA-approved contraception methods and contraceptive

counseling Mammograms Pap smears HIV and other sexually transmitted infection screening and

counseling Breastfeeding support, supplies, and counseling Domestic violence screening and counseling

Visit www.healthcare.gov/prevention for a full list and implementation dates.

The Law Makes Health Insurance More Affordable and Helps Keep Women

Healthy

Page 10: The Health Care Law and. Insurance companies could take advantage of you and turn away the 129 million Americans with pre-existing conditions. Premiums

BEFORE, insurance companies spent as much as 40 cents of every premium dollar on overhead, marketing, and CEO salaries.

TODAY, the new 80/20 rule says insurance companies must spend at least 80 cents of your premium dollar on your health care or improvements to care.

If they don’t, they must repay the money.

The Law Makes Health Insurance More Affordable

60% / 40%

80% / 20%

Page 11: The Health Care Law and. Insurance companies could take advantage of you and turn away the 129 million Americans with pre-existing conditions. Premiums

The Law Makes Health Insurance More Affordable

“Missouri, Illinois customers getting rebates under health care law”

-- St. Louis Post-Dispatch

“Health insurance rebates to go to 81,000 Ohio policyholders”

-- Cleveland Plain Dealer

“Health rebate checks arriving under Affordable Care Act”

-- The Tampa Tribune

Page 12: The Health Care Law and. Insurance companies could take advantage of you and turn away the 129 million Americans with pre-existing conditions. Premiums

BEFORE, small businesses paid an average of 18 percent more for health insurance than large companies.

TODAY, small businesses can get tax credits to help pay for coverage for their employees.

“We got about $7,400 as a tax credit back…. It’s the first time in twelve years that I’ve actually seen a reduction in cost.”

--Louisa M. in Florida

The Law Makes Health Insurance More Affordable

Page 13: The Health Care Law and. Insurance companies could take advantage of you and turn away the 129 million Americans with pre-existing conditions. Premiums

• Free preventive services such as mammograms, osteoporosis screening and an annual wellness visit.

• A 50% discount on covered brand-name

medications for those in the prescription drug donut hole – an average savings of more than $650 per person.

• Strong anti-fraud measures, including tougher penalties for criminals.

The Law Strengthens Medicare

Page 14: The Health Care Law and. Insurance companies could take advantage of you and turn away the 129 million Americans with pre-existing conditions. Premiums

“I am a grandmother who is trying to assist a grandson with his education. I take seven different medications. Getting the donut hole closed, that gives me a little more money in my pocket.”

  - Helen R. in Pennsylvania

The Law Strengthens Medicare

Page 15: The Health Care Law and. Insurance companies could take advantage of you and turn away the 129 million Americans with pre-existing conditions. Premiums

For millions of Americans who buy their own coverage, lose their

coverage, or have no coverage at all, the law provides better options.

The Law Provides Better Options for Getting Coverage

Page 16: The Health Care Law and. Insurance companies could take advantage of you and turn away the 129 million Americans with pre-existing conditions. Premiums

Young adults under the age of 26 can now stay on their parents’ health plans.

“I honestly don’t know what we would have done…. There was no way we could have afforded it. I might not be here right now.”

--Kylie L., 23, in Illinois, who credits the health care law for enabling a life-saving heart transplant

The Law Provides Better Options for Getting Coverage

Page 17: The Health Care Law and. Insurance companies could take advantage of you and turn away the 129 million Americans with pre-existing conditions. Premiums

There are new plans in every state for people who have been locked out of the insurance market because of a pre-existing condition like cancer or heart disease.

“When I was diagnosed, they told me I had a 60 percent chance of being cured. That's pretty good odds, but I was also terribly worried about finances. Now I don't feel like we can't afford the treatment."

--Gail O. in New Hampshire

For more, visit www.PCIP.gov.

The Law Provides Better Options for Getting Coverage

Page 18: The Health Care Law and. Insurance companies could take advantage of you and turn away the 129 million Americans with pre-existing conditions. Premiums

Starting in 2014:

• Discriminating against people with pre-existing conditions.

• There will be new State-based marketplaces – called Affordable Insurance Exchanges – where you’ll have a choice of private plans.

• Tax credits will make buying insurance more affordable.

The Law Provides Better Options for Getting Coverage

Page 19: The Health Care Law and. Insurance companies could take advantage of you and turn away the 129 million Americans with pre-existing conditions. Premiums

Insurers can no longer charge women more just because they’re women.

AND

All plans in the new marketplaces must cover essential women’s health care like maternity

care.

The Law Provides Better Options for Getting Coverage and Ends Discrimination Against

Women

Page 20: The Health Care Law and. Insurance companies could take advantage of you and turn away the 129 million Americans with pre-existing conditions. Premiums

So no matter what happens, you’ll have access to

affordable health insurance.

The Law Provides Better Options for Getting Coverage

Page 21: The Health Care Law and. Insurance companies could take advantage of you and turn away the 129 million Americans with pre-existing conditions. Premiums

The Law Increases Access to CareThere are thousands of new doctors and nurses in communities around the country and millions more

patients getting care.

Page 22: The Health Care Law and. Insurance companies could take advantage of you and turn away the 129 million Americans with pre-existing conditions. Premiums

Numerous independent experts have confirmed that the law will not add a dime

to the deficit.

The Law Is Paid For

Page 23: The Health Care Law and. Insurance companies could take advantage of you and turn away the 129 million Americans with pre-existing conditions. Premiums

• Ends the worst insurance company abuses

• Makes health insurance more affordable

• Strengthens Medicare

• Provides better options for coverage

4 Things to Remember About the Law

Page 24: The Health Care Law and. Insurance companies could take advantage of you and turn away the 129 million Americans with pre-existing conditions. Premiums

Learn More

http://www.healthcare.gov/