10 Benefits Your Health Insurance Must Have
Under the Affordable Care Act or ACA, all health insurance plans must provide certain services to its members. This applies to all plans created after March 23, 2010. Before this, less than 2% of policies offered the 10 essentials.
Review the 10 benefits below and compare them with what you are receiving in your current plan. If you feel you can do better, you can often find better coverage for less money on the health insurance exchanges. The premiums may be higher, but the coverage may wind up costing you less.
1. Wellness visits. Also known as preventive visits, these wellness check-ups require no copay. Under Obamacare, all 50 procedures recommended by the U.S. Preventive Services Task Force are covered, including well-woman visits, domestic violence screening, and support for breastfeeding equipment and contraception.
2. Maternity and newborn care. This is an important service to offer because post-partum mothers and newborns are vulnerable at this time. Maternity and newborn care falls under preventive care and should be provided without cost.
3. Mental and behavioral health treatment. Most insurance companies avoid paying for these diseases because of the long-term commitment. Co-pays can be as high as $40 per session with a limited number of visits to therapists. This includes alcohol treatment and rehabilitation for substance abuse and addiction.
4. Services and devices to help people with injuries, disabilities, or chronic conditions. Temporary injuries are covered by most health plans. They provide services and equipment needed for recovery. The same is required by the ACA for the treatment of chronic diseases.
5. Laboratories. Health insurance must cover 100% of all laboratory tests in aid of diagnosis.
6. Pediatric care. The usual pediatric care is covered, plus dental and vision care for children.
7. Prescription drugs. Medications often burden the sick. With the ACA, all plans must cover at least one drug in every category in the U.S. Pharmacopeia. Your out-of-pocket drug expenses count toward your deductible.
8. Outpatient care. Most health plans already offer this.
9. Emergency room services. If you have an Obamacare plan, you can go to any emergency room, without pre-authorization, and you will not be charged extra.
10. Hospitalization. This is a massive expense that your plan must adequately cover. A day in the hospital can cost $2,000 to $20,000 a day! See to it that your health insurance is up to the task of helping you reduce your hospitalization costs.