Frequently-asked questions by tag

essential health benefits

Many of the Affordable Care Act's preventive care mandates – including coverage of screenings – apply to both men and women.

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

May 15, 2020 – Generally, ACA's preventive care mandates are for everyone regardless of gender, but the mandates include benefits that apply to women's… 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 coverage standards?

January 20, 2020 – With the exception of short-term health insurance and other non-ACA-regulated plans, all individual health insurance policies sold since… Read more

Are visits to the chiropractor or physical therapist covered under the Affordable Care Act?

Are visits to the chiropractor or physical therapist covered under the Affordable Care Act?

February 6, 2019 – Q. Are visits to the chiropractor or physical therapist covered under the Affordable Care Act? A. All ACA-compliant individual and small… 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

Six confused people who are leery of short-term insurance

Should I be leery of short-term health insurance?

August 2, 2018 – Outside of the Obamacare annual open enrollment window, people without a qualifying event have very few options for purchasing new health… Read more

I’ve heard that I need to have an ACA-compliant health plan, but what does that mean?

I’ve heard that I need to have an ACA-compliant health plan, but what does that mean?

April 7, 2018 – Q. I've heard that I need to have an ACA-compliant health plan, but what does that mean? A: It just means an individual or small group… 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

We live in China right now but we don’t have health insurance for the times we come back to the states. What kind of insurance can we get?

We live in China right now but we don’t have health insurance for the times we come back to the states. What kind of insurance can we get?

January 28, 2018 – Q. We live in China right now but we don't have health insurance for the times we come back to the states. What kind of insurance can we… 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