Federal health care reform
Upcoming SlideShare
Loading in...5
×
 

Federal health care reform

on

  • 747 views

BCHN summary of Federal Health Care Reform

BCHN summary of Federal Health Care Reform

Statistics

Views

Total Views
747
Views on SlideShare
628
Embed Views
119

Actions

Likes
0
Downloads
2
Comments
0

1 Embed 119

http://www.bchnblog.org 119

Accessibility

Categories

Upload Details

Uploaded via as Microsoft PowerPoint

Usage Rights

© All Rights Reserved

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Processing…
Post Comment
Edit your comment

Federal health care reform Federal health care reform Presentation Transcript

  • Federal Health Care Reform September 28, 2010
  • What is Health Care Reform?
    • Healthcare reform is a general term used for discussing major health policy creation or changes--for the most part, governmental policy that affects healthcare delivery.
  • Patient’s Bill of Rights
    • Effective September 23, 2010
    • Bans discrimination against kids with pre-existing conditions.
    • Allows young adults to remain on their parents’ plan until their 26th birthday.
    • Prohibits insurance companies from cutting off your coverage when you’re sick if you made a honest mistake on your application.
    • Prohibits insurance companies from putting a lifetime limit on the amount of coverage you may receive, and restricts the use of annual limits until they are banned completely in 2014.
    View slide
  • Patient’s Bill of Rights
    • And if you join a new plan:
      • You have the right to choose your own doctor in your insurer network.
      • Your insurer is banned from charging more for emergency services obtained outside of their network.
      • You will be guaranteed the right to appeal insurance company decisions to an independent third party.
    View slide
  • Patient’s Bill of Rights
      • You will receive recommended preventive care with no out-of-pocket cost. Services like mammograms, colonoscopies, immunizations, pre-natal and new baby care will be covered, and insurance companies will be prohibited from charging deductibles, co-payments or co-insurance. 
  • NEW YORK STATE
    • The following policies are already effective in NYS:
    • In New York, insurers cannot refuse to sell anyone health insurance just because they have a pre-existing condition.
    • New York State has ensured that parents could buy insurance through their employer’s group policy for children up to age 29, which is generally less expensive than buying individual insurance.
  • NEW YORK STATE continued
    • In New York Insurers may not require you to receive prior authorization for emergency services. In addition, your co-payment or co-insurance amount cannot be higher if you utilize an out-of-network hospital or provider in an emergency.
    • New York currently requires coverage of well-child visits and immunizations for children through age 19 without cost-sharing.
    • New York law currently requires direct access for OB/GYN services.
  • NEW YORK STATE continued
    • New York already requires that if an insurer refuses to cover some medical treatment, it must provide a means for the consumer to appeal that decision both within the company and to an independent outside entity.
    • This past August, Governor Paterson signed ‘Ian’s Law which will grant additional protections to New Yorkers who suffer from costly medical conditions.