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Appendix F: Key Features of the Affordable Care Act by Year
Pages 135-146

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From page 135...
... The Marketplace allows individuals and small businesses to compare health plans on a level playing field. Middle- and low-income families will get tax credits that cover a significant portion of the cost of coverage.
From page 136...
... • Regulating Annual Limits on Insurance Coverage. Under the law, insurance companies' use of annual dollar limits on the amount of insurance coverage a patient may receive will be re stricted for new plans in the individual market and all group plans.
From page 137...
... Under the law, states that apply receive federal grants to help set up or expand independent offices to help consumers navigate the private health insurance system. These programs help consumers file complaints and appeals; enroll in health cov erage; and get educated about their rights and responsibilities in group health plans or individual health insurance policies.
From page 138...
... INCREASING ACCESS TO AFFORDABLE CARE • Providing Access to Insurance for Uninsured Americans with Pre-Existing Conditions. The Pre-Existing Condition In surance Plan provides new coverage options to individuals who have been uninsured for at least 6 months because of a pre existing condition.
From page 139...
... • Holding Insurance Companies Accountable for Unreasona ble Rate Hikes. The law allows states that have, or plan to im plement, measures that require insurance companies to justify their premium increases to be eligible for $250 million in new grants.
From page 140...
... • Providing Free Preventive Care for Seniors. The law provides certain free preventive services, such as annual wellness visits and personalized prevention plans for seniors on Medi care.
From page 141...
... People enrolled in a Medicare Advantage plan will still receive all guaranteed Medicare benefits, and the law pro vides bonus payments to Medicare Advantage plans that provide high-quality care. Effective January 1, 2011.
From page 142...
... These groups allow doctors to better co ordinate patient care and improve the quality, help prevent disease and illness, and reduce unnecessary hospital admissions. If accountable care organizations provide high quality care and reduce costs to the health care system, they can keep some of the money that they have helped save.
From page 143...
... Effective no later than January 1, 2013. INCREASING ACCESS TO AFFORDABLE CARE • Increasing Medicaid Payments for Primary Care Doctors.
From page 144...
... • Eliminating Annual Limits on Insurance Coverage. The law prohibits new plans and existing group plans from imposing an nual dollar limits on the amount of coverage an individual may receive.
From page 145...
... Effective January 1, 2014. 2015 IMPROVING QUALITY AND LOWERING COSTS • Paying Physicians Based on Value, Not Volume.
From page 146...
... 146 IMPACTS OF THE ACA ON PREPAREDNESS HHS will not enforce these rules against issuers of stand-alone retiree-only plans in the private health insurance market.


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