Affordable Care Act & Grandfathered Health Plans

Healthreform.gov published an article on Affordable Care Act and "Grandfathered" Health Plans. The purpose of the Affordable Care Act is to give families and businesses more control over their health care

Protecting Patients' Rights in All Plans

• Must provide certain benefits to their customers for plan years starting on or after September 23, 2010.

Additional Consumer Protections Apply to Non-Grandfathered Plans

• They can make routine changes
• Grandfathered plans for policies in effect on March 23, 2010
• Cannot:
• cut or reduce benefits
• raise co-insurances
• significantly raise co-payment charges
• significantly raise deductibles
• significantly lower employee contributions
• add or tighten on annual limit on what insurer pays
• change insurance companies

Projected Impact on Consumers and Plans

• Large Employer Plans
• Small Business Plans
• Individual Health Market
• People in Special Types of Health Plans

Projections of Employer Plans Remaining Grandfathered, 2011-2013

• See chart in article
• Choices in 2014 and subsequent years

For the full article, please click the following link: Keeping the Health Plan You Have: The Affordable Care Act and Grandfathered Health Plans

For additional billing, coding and reimbursement resources, please click the following link: Medical Reimbursement Resources Page