How Does The Health Care Law Protect Me - PowerPoint PPT Presentation

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How Does The Health Care Law Protect Me

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Independent Benefit Advisors looks forward to helping you understand and navigate new health care laws and the NC Health Insurance Marketplace. We serve affordable health insurance plans Wilmington, Apex, Raleigh, Durham, Cary, Charlotte, Fuquay-Varina, Greensboro, Rocky Mount, Sanford, Wake Forest, and other locations throughout North Carolina. For more information call Independent Benefit Advisors at (919) 303-9690 or visit us at . – PowerPoint PPT presentation

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Title: How Does The Health Care Law Protect Me


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How Does the Health Care Law Protect Me?
The Affordable Care Act was designed with you in
mind. With it, youll have new rights and
protections that make health care coverage more
fair for all. Starting in 2014, youll enjoy more
choice and control over your health coverage
thanks to new health care laws. Some protections
apply to plans in the Health Insurance
Marketplace or other individual insurance plans,
some apply to job-based plans, and some apply to
all types of health coverage. Read on to find out
more
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What New Rights Protections Does the Affordable
Care Act Offer?
1) The Health Insurance Marketplace creates a new
way for individuals, families and small
businesses to purchase health coverage. Through
the Marketplace, you can also find out if you can
get lower costs on monthly premiums or lower
out-of-pocket costs, or if you qualify for
Medicaid or Childrens Health Insurance
program. 2) Insurance companies are required to
cover people with pre-existing conditions. You
cannot be turned down for health coverage because
you are sick, even if you have been refused
coverage in the past. This does not apply to
grandfathered individual health insurance plans.
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What New Rights Protections Does the Affordable
Care Act Offer?
3) New laws ensure you understand the coverage
youre getting. Insurance companies and group
health plans are required to provide you with a
short, easy-to-understand Summary of Benefits
Coverage (SBC), as well as a Uniform Glossary of
terms used in health coverage and medical care.
If you do not speak English, you may be able to
receive the SBC and Uniform Glossary in your
native language. 4) Insurance companies are held
accountable for rate increases. Rate Review
requires insurance companies to publicly
rationalize any rate increase of 10 or more.
This does not apply to grandfathered plans.
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What New Rights Protections Does the Affordable
Care Act Offer?
5) Insurance companies cannot arbitrarily cancel
your coverage. This means your coverage wont be
canceled because you made an honest mistake on
your application, left out information that has
little bearing on your health, or got sick.
However, your coverage can be canceled if you
intentionally put false or incomplete information
on your insurance application, or you dont pay
your premiums on time. Your insurance company
must give you at least 30 days notice before
cancellation.
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What New Rights Protections Does the Affordable
Care Act Offer?
6) In general, young adults under 26 years of age
can be covered under their parents insurance
plan. This is true even if they are married,
financially independent, in school, not living
with their parent(s), or eligible for an
employers plan. 7) Most health coverage plans
are required to give you access to free
preventive care services. This means youll be
able to receive preventive screenings, as well as
vaccines, at no cost to you. This does not apply
to grandfathered plans.
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What New Rights Protections Does the Affordable
Care Act Offer?
8) Insurance companies cannot have lifetime and
yearly dollar limits for coverage of essential
health benefits. There are a few exceptions to
this check your plans materials or contact
Independent Benefit Advisors to find out whether
or not this applies to you. 9) You are
guaranteed the right to appeal. If a claim is
denied, you can appeal internally. If payment is
still denied, you can have an external review by
an independent organization. However, rights do
vary depending on the state you live in and your
type of plan. These rights do not apply to
grandfathered health plans. To find out more
about appealing a private health care decision in
NC, contact IBA.
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Affordable Health Insurance Plans NC
Independent Benefit Advisors looks forward to
helping you understand and navigate new health
care laws and the NC Health Insurance
Marketplace. We serve affordable health insurance
plans Wilmington, Apex, Raleigh, Durham, Cary,
Charlotte, Fuquay-Varina, Greensboro, Rocky
Mount, Sanford, Wake Forest, and other locations
throughout North Carolina. For more information
call Independent Benefit Advisors at (919)
303-9690.
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The Independent Benefit Advisors
Address 1121 Pemberton Hill Rd Apex, NC
27502 Phone (919) 303-9690 Toll Free (888)
303-9690 Fax (919) 303-9691 Email ID
john_at_thebenefitadvisors.com Website
Thebenefitadvisors.com Content Source
https//www.thebenefitadvisors.com/frequently-aske
d-questions/health-care-law-protection/
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(919) 303-9690
(888) 303-9690
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