Exam (elaborations)
Insurance Exam - Unit 13: Affordable Care Act correctly answered to pass
- Course
- Institution
Insurance Exam - Unit 13: Affordable Care Act correctly answered to pass
[Show more]
Content preview
Insurance Exam - Unit 13: AffordableCare Act
Affordable Care Act - correct answer ✔✔as signed into law by President Obama in 2010. The law has
also been referred to as Patient Protection and Affordable Care Act (PPACA), Obamacare, or Health Care
Reform. Some ACA provisions were implemented in 2010, while others happened later.
Grandfathered Health Policy - correct answer ✔✔one that existed prior to the Affordable Care Act. Costs
cannot be increased and benefits may not be reduced on these policies.
No grandfathered Health Plans - correct answer ✔✔must comply with all rules and laws of the ACA.
Individual Mandate - correct answer ✔✔Insurance provided by employers satisfies this universal health
insurance mandate. Individuals who lose or choose not to purchase qualifying coverage must pay a tax
penalty.
Minimum Essential Coverage - correct answer ✔✔U.S. citizens and legal residents are required to have
qualifying health care coverage
Essential Health Benefits - correct answer ✔✔Health plans must be qualified to fit ACA standards.
QHPs, Medicaid state plans, and insurance on the health exchange must meet requirements.
Emergency Medical Services - correct answer ✔✔The ACA provides that emergency services are
essential health benefits (EHBs). When an emergency occurs, no pre-authorization may be demanded by
insurers, whether the insured seeks help in-network or out-of-network.
Primary Care Provider - correct answer ✔✔Every subscriber and dependent must designate a
participating primary care provider (PCP) who will serve as his usual source of medical care.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Sakayobako30. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
78252 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now
