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  1. 1. What’s not to Love about Affordable Care?Let’s Talk about How the New Law Affects You!<br />Michelle Melchiorre <br />Community Organizer, Fountain Hills/Scottsdale AZ<br />
  2. 2. Agenda<br />Talking about the Affordable Care Act<br />New Provisions in Health Reform<br />Provisions already in effect<br />The benefits to come<br />Resources <br />Q&A<br />
  3. 3. What has ACA done for me lately?<br />Newest Provisions in ACA<br />Getting the most bang for your buck<br />Requires plans in the individual and small group market to spend 80 percent of premium dollars on medical services, and plans in the large group market to spend 85 percent. Insurers that do not meet these thresholds must provide rebates to policyholders. <br />Prescription Drug Discounts<br />The law will ease expenses for seniors by requiring pharmaceutical companies to provide a 50% discount on brand-name prescription drugs to seniors who reach the Medicare Part D “donut hole” coverage gap. Over the next ten years, seniors will continue to receive federal subsidies for brand-name and generic prescription drugs until the coverage gap is eliminated altogether. <br />
  4. 4. Newest Provisions in ACA<br />Free Preventive Care for Seniors: <br />Seniors on Medicare will begin receiving free preventive care, including free annual wellness visits and personalized prevention plans. <br />Committee on Energy and Commerce<br /> The Impact on Medicare of the proposed Ryan Plan on Congressional District 1<br />And now a word about what’s going on…<br />
  5. 5. The Greatest Hits<br />No Discrimination Against Children With Pre-Existing Conditions<br />Prohibits new health plans in all markets plus grandfathered group health plans from denying coverage to children with pre-existing conditions. Effective 6 months after enactment. (Beginning in 2014, this prohibition would apply to all persons.)<br />Bans Lifetime Limits On Coverage <br />Prohibits health insurance companies from placing lifetime caps on coverage. Effective 6 months after enactment.<br />Free Preventive Care Under New Private Plans<br />Requires new private plans to cover preventive services with no co-payments and with preventive services being exempt from deductibles. Effective 6 months after enactment. <br />THEACA TODAY<br />
  6. 6. The Greatest Hits<br />THE ACA TODAY…CONT<br />New, Independent Appeals Process <br />Ensures consumers in new plans have access to an effective internal and external appeals process to appeal decisions by their health insurance plan. Effective 6 months after enactment<br />Immediate Help For The Uninsured Until Exchange Is Available (INTERIM HIGH-RISK POOL)<br />Provides immediate access to affordable insurance for Americans who are uninsured because of a pre-existing condition _ through a temporary subsidized high-risk pool. Effective 90 days after enactment.<br />Extends Coverage For Young People Up To 26th Birthday Through Parents Insurance <br />Requires new health plans and certain grandfathered plans to allow young people up to their 26th birthday to remain on their parents‘ insurance policy, at the parents' choice. Effective 6 months after enactment.<br />Ends Rescissions <br />Bans insurance companies from dropping people from coverage when they get sick. Effective 6 months after enactment.<br />
  7. 7. The Future of ACA<br />Small Business Tax Credits <br />Offers tax credits to small businesses to make employee coverage more affordable. Tax credits of up to 35 percent of premiums will be immediately available to firms that choose to offer coverage. Effective beginning for calendar year 2010. (Beginning in 2014, the small business tax credits will cover 50 percent of premiums.)<br />RESOURCE:<br />
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  9. 9. Community Health Centers – Sun Life Family Health Center<br />Increases funding for Community Health Centers to allow for nearly a doubling of the number of patients seen by the centers over the next 5 years. Effective beginning in fiscal year 2010.<br />Increasing Number Of Primary Care Doctors <br />Provides new investment in training programs to increase the number of primary care doctors, nurses, and public health professionals. Effective beginning in fiscal year 2010.<br />Now let’s talk about the Exchanges and Medicaid…<br />The Impact on Medicaid of the proposed Ryan Plan on Congressional District 1<br />The Future of ACA<br />
  10. 10. Your friend,<br />
  11. 11. Resources <br /><br /><br /><br /><br /><br /><br />
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