What is the Affordable Care Act?

The goal of the Affordable Care Act (ACA) is to make health insurance coverage more affordable and accessible to millions of Americans, particularly for low-wage jobs that don’t normally come with health care benefits. It is a comprehensive reform that emphasizes wellness and preventive care, as well as establishes key consumer protections. The ACA assistance provisions include:

– Expanding basic health care coverage
– Providing free preventive care
– Holding insurance companies accountable for rate increases
– Lowering health care costs
– Providing more choices for coverage

Essentially, the ACA aims to enhance health care quality for all Americans.

The Key Points

The following are the key facts about the ACA that you need to be aware of:

Health insurance is a requirement for all Americans. If you don’t have a Qualified Health Plan (QHP), you will pay the penalty on your tax returns.

The ACA paved the way for the Health Insurance Marketplace. People can now shop for affordable insurance plans in one venue. Moreover, all health care plans should now include certain preventive services at no additional cost. They should also cover basic benefits and offer free preventive care.

The ACA expanded Medicaid coverage. Medicaid now provides coverage for low-income individuals (earning approximately $15,417 or less annually) and families, particularly children, pregnant women, seniors, and persons with disabilities under 65 years old. It also extends dependent child coverage to young adults under 26 years old.

Eligibility rules and coverage vary per state. Implementation of the new, health insurance coverage marketplace options depends on state participation. To date, 32 states have expanded Medicaid coverage, while 19 do not.

It’s now illegal for insurance companies to revoke coverage due to illness. Moreover, ACA requires them to cover individuals with pre-existing health conditions.

If you have further questions about the ACA, contact DECO Revenue Management.

How does the Affordable Care Act Affect You?

Whether you’re an individual, a small business, or a hospital, the Affordable Care Act affects you in some way.

Watch the video to the right to get an idea of how it directly affects you, your family, or someone you know.

Be sure to share this video or any important ACA information with your friends and family.

The YouToons Get Ready for Obamacare - youtube Video

Navigator Site Locations

Download a list of our Navigator Walk-in Centers.

Download the list

The Affordable Care Act FAQ

DECO Recovery Management can help you Navigate the Affordable Care Act Marketplace

Our consultants at DECO Recovery Management assists in every stage of revenue cycle management, from determining eligibility for Medicaid to submitting applications for coverage.

As a certified Navigator, we can help non-eligible patients find affordable insurance plans in their respective state’s Health Insurance Marketplace.

We facilitate every step of the process to ensure that your patients and your facility are not missing out on the health insurance coverage you both deserve.

Furthermore, you can count on us to follow through with the paperwork and answer your patients’ questions.

Assistance to Individuals

The Affordable Care Act marketplace and the process for filing Medicaid claims can be confusing, but our certified health insurance Navigators will simplify the process for you. Our eligibility consultants and staff are well-versed and familiar with the claims process. And, with our Culture of Service and patient-advocacy approach, you can expect a dedicated and personalized assistance.

We will do our best to help you find the best health care coverage at your price range.

Feel free to contact us for questions and clarifications regarding Medicaid, the Affordable Care Act enrollment, and your Health Insurance Marketplace options. You can also fill out our online form for a quicker response.