The Affordable Care Act enables well over millions of people to get health coverage through exchange or Medicaid extension.
It saves senior citizens money for their Medicare coverage and for prescription drugs. This allows many Americans to receive free birth control, mammograms, and cholesterol tests. Many restaurants are required to specify the calorie values of their menu items. And it allows children to stay on their parents' health plans until they are 26 years old.
Even the Trump government is using the groundbreaking health care reform bill to lower prescription drug prices.
And above all for many people: Obamacare prevents insurers from withdrawing from the existing conditions or demanding more. This provision proved so popular that even Republican candidates had promised to defend it in the recent midterm elections, with an unsuccessful attempt to retain their majority in parliament.
"It would be hard to find a part of the health care system that was not affected by the ACA," said Larry Levitt, senior vice president of the Kaiser Family Foundation, of the Affordable Care Act.
All this, however, could be carried away by a judge from the US District Court in Texas, who ruled on Friday that the individual cover mandate of the Affordable Care Act is unconstitutional and therefore the rest of the law can not exist. It is trying to achieve what the Republicans have been trying for years: the lifting of Obamacare.
Here's the risk:
Obamacare means lower premiums, deductibles, and cost sharing for the approximately 60 million elderly and disabled Americans participating in the program.
The Health Care Reform Act has made many changes to Medicare. It slowed growth in payment rates for hospitals and other providers, reduced payments on Medicare Advantage plans, and improved benefits for subscribers. The Obama administration estimated that thanks to the Affordable Care Act, the typical Medicare beneficiary pays about $ 700 less in premiums and cost sharing.
Under Obamacare, Medicare signatories also receive free Preventive services, such as breast and colon cancer screening, heart disease and diabetes. 19659002] And Obamacare helped close the gap in Medicare drug coverage, and was on the way to eliminating it completely by 2020. Older citizens have to pay more for medicines while they are in the donut hole, which is between the initial and catastrophic cover phase. (The Bipartisan Budget Act of 2018 accelerated the closing of the coverage gap by 2019.)
Obamacare, however, means higher costs for more wealthy beneficiaries. The law has frozen the threshold for the Medicare premium surcharge to $ 85,000 for individuals and $ 170,000 for couples, affecting more and more people. The Affordable Care Act also added a premium premium on drug coverage for higher-income individuals.
Obamacare requires that companies with at least 50 employees provide their employees with affordable insurance for more than 30 hours per week.
This mandate had no major impact on the 150 million workers insured by their jobs. Most larger employers already offer full-time employees. When the bar was set at 30 hours a week, some employers made the coverage extend to more employees, as many companies had considered this limit part-time.
In addition, the law allows children to stay with their parents. Plans until her 26th birthday. This has proved to be one of Obamacare's most popular policies and has helped lower the uninsured rate of this age group.
In addition, workers for contraceptives and preventive checkups such as colonoscopy and colon cancer no longer have to pay mammograms. Obamacare requires that these be provided free of charge.
The ACA also prohibits employers from setting annual or lifetime limits on benefits and limits on out-of-pocket expenses.
Obamacare also affected workers working in companies with fewer employees than 50 workers. Insurers can no longer prohibit workers under existing conditions or require them to pay more. The law requires the plans to cover a range of benefits, including maternity, mental health and prescription drugs. And it limits insurers' premiums for older workers more than three times that of younger workers.
However, this more comprehensive coverage comes at a price. Obamacare's regulations led to high premiums, forcing some small businesses to stop offering health insurance to their employees.
Obamacare had the greatest impact on the single market, which was previously largely unregulated by the Health Care Reform Act.
The 19659010 The Affordable Care Act demands insurers that they cover persons with pre-existing conditions and prohibit them from bringing charges against the sick. The law ended insurers' practice of limiting benefits to annual or lifetime limits, and capped annual spending out of pocket. It requires insurers to offer more comprehensive benefits, including medication, maternity and mental health. It prevents insurers from charging women higher fees, and limits premiums for older people to three times that of young adults.
Obamacare set up health insurance agencies to give Americans the opportunity to buy individual policies, thus creating low and moderate government subsidies – newcomers could purchase policies for less than 10% of their income. It also limits deductibles and co-payments for lower-income policyholders.
Close to 11.8 million people have opted for 2018 coverage logged in via the stock exchanges of Obamacare. Around 2.5 million Americans have purchased individual policies outside the stock exchanges of Obamacare. They can not apply for subsidies, but they receive all other benefits.
However, many consumers were dissatisfied with the changes made by Obamacare, especially as they drive up the premiums. Many middle-class Americans who do not qualify for subsidies have ceased their cover and say it's priceless now.