Posts Tagged “Affordable Care Act”
Supreme Court Mulls Affordable Care Act
By Jorge Hiram Garcia, Your Insurance Advisor | April 4, 2012
Here are some consumer benefits that would disappear if the whole law were to be ruled unconstitutional: Increased coverage of preventive services Many health insurance plans are now subject to new rules that require them to cover recommended preventive services without charging a co-payment. As a result, consumers pay nothing for services like routine screenings, [...]
What’s Coming Up for the Affordable Care Act (ACA)
By Jorge Hiram Garcia, Your Insurance Advisor | March 29, 2012
Two of the most pressing ACA changes on the horizon for the marketplace are the implementation of the Summary of Benefits and Coverage and preparation for participating on the public exchanges. Upcoming changes to the Affordable Care Act that are looming include: Summary of Benefits and Coverage Beginning Sept. 23, 2012, all insurers and group [...]
Looking Back at The Affordable Care Act
By Jorge Hiram Garcia, Your Insurance Advisor | March 29, 2012
The Affordable Care Act, also known as ACA, has made an impact on healthcare for many consumers. This week the Supreme Court will hear arguments on challenges to the Affordable Care Act (ACA). Several of ACA’s provisions are already making an impact on the business of health care and individual consumers. Some of the provisions [...]
Affordable Care Act Update: Patient-Centered Outcomes Research Fee
By Jorge Hiram Garcia, Your Insurance Advisor | February 29, 2012
An update on Patient-Centered Outcomes Research Institute Fee has just been released. As part of the Affordable Care Act, health insurance issuers and sponsors of self-insured group health plans will be assessed an annual fee to fund patient-centered outcomes research. The federal government is expected to release proposed regulations in June 2012. We will update [...]
Congressional Update: Afordable Care Act Final Regulations Update 2-10-2012
By Jorge Hiram Garcia, Your Insurance Advisor | February 10, 2012
The Affordable Care Act: Final Regulations Issued for Summary of Benefits and Coverage Yesterday, the Departments of Health and Human Services, Labor and Treasury released the final rule and related documents for the uniform Summary of Benefits and Coverage (SBC) provision of the Affordable Care Act. This provision requires all insurers and group health plans [...]
Congressional Update: House Repeals CLASS
By Jorge Hiram Garcia, Your Insurance Advisor | February 9, 2012
Recent news from Congress: House votes to repeal CLASS Act The House voted last week to repeal the Community Living Assistance Service and Supports (CLASS) Act, a part of the Affordable Care Act. Republicans have been working to repeal the health reform law since December, a few months after the U.S. Department of Health & [...]
Congressional Update: Summary of Benefits and Coverage Compliance On Hold
By Jorge Hiram Garcia, Your Insurance Advisor | February 8, 2012
In recent news from Congress: The Affordable Care Act requires all insurers and group health plans to provide consumers with a Summary of Benefits and Coverage (SBC) at certain times, including upon request for information, at the time of application, at enrollment and annually upon re-enrollment. As the March 2012 implementation date for this provision [...]
Revisions to Pre-Existing Conditions for BCBSTX members
By Jorge Hiram Garcia, Your Insurance Advisor | August 18, 2010
Pre-Existing Condition Exclusions Blue Cross and Blue Shield of Texas (BCBSTX) has revised the chart published last month defining how pre-existing condition waiting periods will be applied to insured and self-funded (ASO) business. Insured – BCBSTX will waive pre-existing condition exclusions for all enrollees up to age 19, and for all dependent children up to [...]
The National Academy for State Health Policy has recently released a report on the new changes and provisions in the Patient Protection and Affordable Care Act which will affect Long Term Care (LTC) insurance for America’s seniors. Some of the “enhancements” found in these new changes are designed to help seniors avoid nursing homes, coordinate [...]
One good benefit coming from all of the attention being paid to health care reform is the attention being paid to fraud in the medical health care community, much of it perpetrated by health care providers. Many people oppose the reforms fearing a turn to socialist policies by the government. Where there is controversy, however, [...]




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