Affordable Care Act

The Affordable Care Act is the law that has led to health care reform. Under the law:

Most people will have to buy health insurance or pay a penalty. This is called the individual mandate.

Each state has access to a Marketplace, also called an Exchange, where you can buy health insurance. It is available to you online, on the phone, or in person. The Marketplace in your state may be run by the federal government. You can see available health plans being sold in your area and compare benefits and premiums in one place.

You may be eligible for financial aid, called premium assistance or tax credits, to buy insurance. You may also be eligible for cost sharing subsidies to help you pay for your deductibles and co-payments. How much aid you get depends on how much you make a year, how many people are in your family, and where you live. 

Your children can stay on your health insurance plan until they turn 26.

If you have a health problem, you must be accepted by any health plan you want. You cannot be denied coverage because of a pre-existing condition or be charged more for coverage based on your medical condition.

Even if you have a chronic condition or a serious accident, your health plan has to cover a list of essential health benefits. Essential benefits include doctor visits, emergency services, staying in the hospital, maternity and newborn care, prescriptions, and others. You can get the care you need for the services on the list of essential health benefits without worrying that your health plan will stop paying its part.

 

WebMD Medical Reference Reviewed by Sarah Goodell on June 19, 2019
© 2019 WebMD, LLC. All rights reserved.