The federal department of Health and Human Services (HHS) provides a list of facts about the Affordable Care Act (ACA) by state. This is a summary of the results to date for Ohio.
”1,268,826 (94%) of Ohio’s uninsured and eligible population may qualify for either tax credits to purchase coverage in the Marketplace or for Medicaid if Ohio takes advantage of the new opportunity to expand Medicaid coverage under the Affordable Care Act.”
Here is a list of some of the key provisions that apply under the ACA.
- Children under 26 can stay on their parent’s health plan
- Insurance cannot be denied to people with preexisting conditions
- Insurance companies must provide health care or preventive services for 80% of each dollar paid into their plans. If not, refunds are mandated.
- Insurance companies must justify rate increases that are 10% or more. $5,091,507 has been paid to Ohio under the new law to help fight unreasonable premium increases.
- Lifetime limits have been banned under the ACA. In 2014, yearly limits are banned.
- Preventive services must be provided without copays or deductibles for many preventive health services, such as colonoscopy screening for colon cancer, Pap smears and mammograms for women, well-child visits, and flu shots for all children and adults.
- The National Health Service Corps provides scholarships and repays loans for clinicians that provide primary care in areas underserved for health services. These clinicians include physicians, nurse practitioners, physician assistants, dentists, and mental health providers.
- Women will pay the same rates for the same level of coverage as men under the ACA.
- Senior citizens on Medicare will pay less for brand name and generic drugs under the ACA, with a gradual elimination of the “donut hole” that has seniors paying 100% above a specified limit per year for prescriptions until a maximum is reached.
- If you are not in a qualified plan, and you have income above a stated minimum level, you will pay a penalty for not enrolling in the ACA. There are many exceptions that are stipulated. You can get the details of these exceptions and penalties here.
You can get additional information about the benefits to women under the ACA from a report by HHS.
You can go to the Ohio marketplace to see what your rates will be under the four different plans available, which are bronze, silver, gold and platinum. There is a substantial difference in costs due to the more expensive plans having lower deductibles and co-payments.
There has been a flood of inaccurate statements regarding the Affordable Care Act. The Henry K Kaiser Family Foundation provides an analysis of the overall provisions of the act in the video attached to this article.
The bottom line is that the Affordable Care Act will provide major benefits to women, uninsured people with preexisting conditions, and people that have no coverage. Men may find their premiums increase as women now get the same level of coverage for the same price as men are paying.