The Affordable Care Act Marketplace (ACA) has the primary goal of making high-quality healthcare attainable for everybody, regardless of their current health condition and financial status. Also called the new health insurance marketplace, this is a means by which patients can explore the packages available for them, finding the best plans that fit their needs and their budget. Health Care Plans As mandated by law, health care plans should cover the 10 essential benefits for patients. Prior to this law’s enactment, certain health insurance providers vary the packages available as a means of limiting the benefits that their client’s receive.
As in previous years, there were non-inclusions and fine prints in many health plans, making it a challenge for patients to really get the treatments they need. If they wanted to get more coverage, they were expected to pay more. Such is not the case when it comes to the ACA. Mandated Benefits Among the essential benefits that must now be included in health care packages are: emergency services and hospitalization, ambulatory or out-of-hospital services, pediatric care, prenatal care for pregnant moms and their babies, as well as prescription drugs, if needed. In addition, the ACA will also give attention to laboratory procedures, treatment for addiction or mental illness, as well as, rehabilitation services for those who have suffered injuries. Going Through the Options If you have patients who need assistance with their medical expenses, you can advise them to look through their new health insurance marketplace coverage options. You may also make it easier for them by explaining to them what types of treatments they will need more often, or which procedures are more necessary than others. As a doctor, you can inform them about the pros and cons of certain packages as offered by different companies. If you need more information on these programs, and would like to be well-versed with assisting your patients, you can talk to the experts in this field. Specialists in the ACA marketplace can support you and your patients throughout the application process, ensuring that all pertinent data is complete and that all requirements are well-documented. Keeping your patients well-informed about the benefits they deserve is only one of many ways by which you can add value to your service as a medical practitioner. Helping them out in this process shows them that you truly care about their needs and want them to get better. Sources: Affordable Care Act, dol.gov Essential Health Benefits Under The Affordable Care Act, forbes.com