Frequently-asked questions by tag

essential benefits

Under the ACA, do student health plans have lifetime dollar limits?

Under the ACA, do student health plans have lifetime dollar limits?

May 14, 2019 – Q. I recently read about the graduate student at Arizona State who died of cancer in 2013 because his insurer capped how much the policy… Read more

What happens if I buy insurance but it doesn’t meet ACA’s minimum essential benefits standards?

What happens if I buy insurance but it doesn’t meet ACA’s minimum essential benefits standards?

January 2, 2019 – With the exception of short-term health insurance and other non-ACA-regulated plans, all individual health insurance policies sold since… Read more

How is vision care covered under Obamacare?

How is vision care covered under Obamacare?

December 18, 2018 – Q: How is vision care covered under the Affordable Care Act? A: The Affordable Care Act requires coverage for pediatric vision care as one… Read more

If I have access to health insurance, can my husband’s company deny me coverage?

If I have access to health insurance, can my husband’s company deny me coverage?

December 15, 2018 – The ACA requires employers with 50 or more workers to offer coverage to employees and their children (until age 26), but not spouses. But… Read more

What is the ACA’s catastrophic plan and who is eligible?

What is the ACA’s catastrophic plan and who is eligible?

April 29, 2018 – The catastrophic plan is available to people under age 30, or people 30 and older who qualify for a hardship exemption from the ACA's… Read more

Does the ACA require infertility treatment to be covered by health insurance?

Does the ACA require infertility treatment to be covered by health insurance?

February 4, 2018 – Q: Does the ACA require infertility treatment to be covered by health insurance? A. No. Treatment for infertility is not one of the ten… Read more

Is it true that Obamacare’s preventive care mandates only help women?

Is it true that Obamacare’s preventive care mandates only help women?

January 29, 2018 – Q. I've heard that Obamacare's preventive care mandates only help women. I'm a man, and I feel like I'm getting the short end of the stick.… Read more

Pediatric dental is one of the essential health benefits on new plans. Does that mean that my insurance will cover braces for my son?

Pediatric dental is one of the essential health benefits on ACA-compliant plans. Does that mean that my insurance will cover braces for my son?

January 15, 2018 – Q: I’ve read that pediatric dental is one of the essential health benefits on new plans. Does that mean that my insurance will cover… Read more

If silver plans cover the same benefits, why do premiums vary?

If all Silver plans cover the same benefits and percentage of costs, why do premiums vary by carrier?

August 10, 2016 – Q. If all of the Silver plans in an exchange must offer the same benefits, and cover 70 percent of the cost of those benefits, why do… Read more

Do ‘Gold’ exchange plans offer more generous coverage than Bronze or Silver plans?

Do ‘Gold’ exchange plans offer more generous coverage than Bronze or Silver plans?

June 20, 2016 – Q. I have read that the Gold plans sold in the exchanges offer more generous coverage. What exactly does a Gold plan cover that isn't… Read more

Does the Affordable Care Act make it easier to get individual health insurance?

Does the Affordable Care Act make it easier to get individual health insurance?

June 18, 2016 – Q: Does the Affordable Care Act make it easier to get individual health insurance? A: Yes, in several ways, it's easier to get… Read more

Can my student health insurance plan set annual dollar limits on how much it will pay out to cover essential benefits?

May 3, 2016 – Q. Can my student health insurance plan set annual dollar limits on how much it will pay out to cover essential benefits? A. No, it… Read more