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Special report: A rocky rollout for the health reform law

by Lauren Dubinsky, Senior Reporter | February 18, 2014
From the January/February 2014 issue of HealthCare Business News magazine


On the bright side
Despite the problems, most consumers and physicians are pleased with other aspects of the Affordable Care Act. According to the U.S. Department of Health & Human Services, 41.3 million uninsured Americans have new opportunities for health insurance coverage and six out of 10 of them will be able to get it for 100 dollars or less.

Even though the cheaper plans don’t offer as much coverage, the new law requires every insurance plan to cover preventative care. “The new insurance, whether it’s through the state or the federal exchanges are set up to recognize the importance of primary care,” says Blackwelder. “Any primary care preventive services, so things like flu shots, pap smears, colonoscopy, things that are appropriate for sex and age, will have no copay.”
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The other benefits are that health plans can no longer limit or deny benefits to children with pre-existing conditions, young adults under 26 are eligible to be covered under their parents health plan, there are caps on annual out-of-pocket medical and drug expenses, and insurers cannot drop your coverage or raise your premiums if you get sick.

Both Lexa and Blackwelder say they are hopeful that the problems with the law will eventually be ironed out.

“Any new system needs some adjustment and we need to continue to find the parts of the act that work great and we need to find the parts that need some attention and address them and that’s what I’m hopeful will start to happen,” says Blackwelder.

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