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Linda Bergthold

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Holiday Gifts From Health Reform

Posted: 12/10/11 01:30 PM ET

This holiday season you may be surprised to find some gifts from the Affordable Care Act (aka health reform) in your stocking. I say "surprised" because a recent Kaiser Family Foundation poll found that the American public still doesn't know what is in the health reform law and what is not.

If you haven't been sick this year or are not included in the following categories of people who are benefiting from health reform, it makes sense that you won't have paid much attention. You may not experience concrete benefits until it is fully implemented in 2014. But just in case you know someone in these categories, here's the list of health reform "gifts" available this year (see my blog on the Health Insurance Resource Center for more details):

1. If you are 65 or older -- (and eligible for Medicare) -- seniors who are enrolled in Medicare Advantage plans (that's Part C or the managed care part of Medicare) may have seen their premiums reduced this year. Some may even have access to ZERO premium health plans. Seniors also now receive free preventive treatments and a rebate of $500 if their drug coverage hits the "donut hole" in 2011.

2. If you haven't turned 26 yet -- you may have been able to stay on your parents' health plan this year, even if you are working or don't live at home. 2.5 million young people had access to this benefit. And 90,000 children under the age of 19 could not be denied coverage because of a pre-existing condition due to a change that was implemented in 2011.

3. If you needed preventive care (or had the good sense to get it) -- you had access to it this year without a co-payment or deductibles.

4. If you were a small business owner -- with fewer than 25 employees and average wages of $50,000 a year, you were eligible for a substantial tax credit if you offered health insurance coverage to your workers.

5.If you have been uninsured for 6 months because you couldn't afford coverage or had a serious medical condition -- you could enroll in your state's "pre-existing condition insurance pool" and get coverage at a more reasonable rate. (Read this story about a woman who had criticized Obama for the health care law but then got cancer, apologized to Obama publicly because she was able to find coverage from her state's high risk pool.)

6. If you did accrue substantial medical bills this year, the law restricts annual limits on health insurance coverage.

7. And if you are an individual who buys insurance on your own, not through an employer -- you know how hard it is to get that coverage and how expensive it can be. But one of the benefits of health reform identified by only 38 percent of the Kaiser poll respondents is something called the "medical loss ratio". The MLR requires that health plans pay out at least 80 percent of your premium for actual medical care (85 percent if it's a large plan). That is, they can only spend 20 percent of your premium on advertising and other administrative costs. If they do not spend at least 80 percent on medical care, they have to pay a rebate to you, the consumer, most likely in the form of a reduced premium. I mention the individual buyer of coverage here, because most insurers who offer plans through the group market (small or large) likely meet those 80 percent requirements today. It is the insurer who markets to individuals that may be failing to meet the 80 percent requirement. We can thank HHS for holding the line on the MLR regulations to the benefit of the rest of us. The MLR may be one of the best holiday gifts of all.

Did you already know most of this? Congratulations, but you are in the minority. The Kaiser poll also found that the majority of respondents had heard very little from the media about health reform in the past thirty days, other than what is being said in the Republican debates. In the midst of a great amount of doom and gloom over the economy, and constant attacks on the president and the Affordable Care Act, it's important to remember that some good things have been done for the most vulnerable of our friends and family. Pass it along!

 

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This holiday season you may be surprised to find some gifts from the Affordable Care Act (aka health reform) in your stocking. I say "surprised" because a recent Kaiser Family Foundation poll found t...
This holiday season you may be surprised to find some gifts from the Affordable Care Act (aka health reform) in your stocking. I say "surprised" because a recent Kaiser Family Foundation poll found t...
 
 
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This user has chosen to opt out of the Badges program
01:17 PM on 12/12/2011
If you don't know what's in the bill don't feel bad, neither did congress when they voted for it.
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invirginia
A higher double-standard.
03:07 PM on 12/12/2011
But the ones who voted against it knew it held many provisions that would benefit the uninsured and the middle class -- and hey, even a few things to help small businesses.
foresure
Brash and Harsh
12:54 PM on 12/12/2011
I live in Florida, and have had a Medicare Advantage plan that was absolutely free. Nothing taken from my social security check. I have had it throughout 2011.

If my insurance company can make a profit without taking the $96 and change from my SS check, and also give me drug insurance at no addition cost, why can't the Federal Government at least break even?
12:34 PM on 12/12/2011
Republicans would only let Americans choose between the various for-profit insurance companies. They would not let us consider a single payer plan that would have given the American people all the leverage needed to reduce health care costs. Can't have insurance companies loose the government gravy train they have been riding.
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HUFFPOST SUPER USER
Teri L
12:31 PM on 12/12/2011
State's high risk pool existed before Obamacare. Now that the Federal government is mandating Health insurance, these state programs will become obsolete. I cannot believe how misleading this article is.
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invirginia
A higher double-standard.
03:10 PM on 12/12/2011
Yes -- but try finding out how much the state high-risk pool premiums were. Under my high-risk policy, I was paying $600 per month with a $2,500 deductible. Under the health care reform state high-risk pool, I'm paying $248 with a $1,000 deductible -- about 60% less. And every state didn't have a high-risk pool -- only states who legislature passed laws for "insurers of last resort."

Can't believe how much information you left out of your post.
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invirginia
A higher double-standard.
03:11 PM on 12/12/2011
Also, the state high-risk policy did not begin to cover any preexisting conditions for one year after the policy began -- the new policy will cover everything with the policy's effective date.
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HUFFPOST SUPER USER
Teri L
12:29 PM on 12/12/2011
The state's high risk pool existed before Obama Care. He did not create this.
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HUFFPOST BLOGGER
Linda Bergthold
Health policy consultant
02:56 PM on 12/12/2011
Some states did have high risk pools before the Affordable Care Act passed, but the Act allowed all states to participate with 100% federal dollars. At least 43 states have taken the feds up on this. (see http://www.healthreform.gov/forums/blog/blog_4.html ) The biggest problem with these pools is that there isn't enough money to cover everyone who needs the coverage, AND you have to have been uninsured for 6 months to enroll. Given the drive by Republicans to eliminate spending for ANY such program, the fact that these pools are serving at least some folks is a good thing. Just ask the lady in the quote from the LA Times how she feels about having access to it. Once the ACA is totally implemented, there will be no need for these pools. They SHOULD become obsolete.
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invirginia
A higher double-standard.
03:11 PM on 12/12/2011
Not in every state, and premiums were MUCH higher. Also, many of these policies denied coverage for pre-existing conditions for at least one year from the date of the policy.
11:32 AM on 12/12/2011
I have one question. How has AFA affected the infant mortality rate of this country.

Before AFA, American had one of the highest infant mortality rates in the industrialized world. Higher than the infant mortality rate of Canada and Britian, demonized for their socialized medicine. About twice as high as the infant mortality rate of France. About 3 times higher than the infant mortality rate of Singapore. (I got these states from OCED.)

The states in the Bible belt, Mississippi, Alabama, Tennesee and South Carolina had the highest infant mortality rates - and the place with the highest infant mortality rate was Washington DC, home to all the insurance company lobbyists.

It always seemed strange to me that the loudest opponents of Obama-care came from the Bible belt. After all, Jesus spent most of his time healing the sick. Never once did he say anything about health insurance.

I know Obama-care has a healthy mother provision which guarantees pre-and post natal care to all expectant mothers. What effect has that provision had? I'd appreciate a follow up article.
10:13 AM on 12/12/2011
The US needs single payer. We are rated #37th in health care plans. France is rated #1. They have single payer with the option to buy a supplemental from a private insurance company. The GOP ran adds trashing single payer by siting Canada's system, whose plan is rated #30. No mention of France.
11:27 AM on 12/12/2011
We may not be France but it doesn't cost us a cent for a Heart Transplant! Thank you Tommy Douglas, a great Canadian.
02:22 PM on 12/12/2011
I myself wasn't trashing Canada's HC. I was trying to highlight the fact that contrary to what many Americans seem to believe - we are not #1 in everything and most especially not in HC. We're 37th. The ads only sited Canada - that may have flaws compared to France but your HC is far better than what we have in the US. The ads would have been better had they mentioned France.
This user has chosen to opt out of the Badges program
11:33 AM on 12/12/2011
Unlikely that France would be mentioned, since the whole mindset of those opposing US health care reform is to deny that a better way exists. You are right, of course, and I can't begin to tell you what a difference the French system makes.
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HUFFPOST SUPER USER
mitsie
09:41 AM on 12/12/2011
I want to bring up a subject that is not being discussed but fits under this topic of healthcare, and this is the silent crime of elder abuse in hospitals in NJ. The hospitals owned by big corporations who are just for making profits for their investors. I am a retired RN Certified Risk Manager who was abused in a hospital in July, and now an advocate trying to stop it. however we need public support to change NJ and other state laws to include hospitals, along with nursing homes in elder abuse prevention.
https://sites.google.com/site/elderabuseinhospitals/
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gutenmorgen
a.k.a. poopdeck
09:29 AM on 12/12/2011
O.K. but by what percentage have insurance premiums increased since the passage of this legislation? Will you tell us next time Ms.Bergthold? And also what percentage of the uninsured of our nation at the time of passage are now fully insured?
Let's face it. If you are eligible for Medicare you are insured. Perhaps not perfectly but you are insured. That is why the Obama legislation is a fig leaf on a fatally flawed health-care/insurance system.
11:28 AM on 12/12/2011
So much hate and so little time!
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HUFFPOST SUPER USER
imfedup
Fight the lies.
11:40 AM on 12/12/2011
Well, gosh. If you were a big health insurer and you knew you were going to have to stop denying people coverage for pre-existing conditions and stop lifetime and annual caps and start putting 80-85% of our premiums into care instead of marketing and bonuses and you had a profit motive instead of a people motive, you would probably jack up your rates too. They're getting while the getting's good. That doesn't reflect on the ACA at all. It reflects on the greed of the insurers.
12:31 PM on 12/12/2011
My company insurance plans were going up an average of 25% per year for the three years before Obamacare was enacted. Can't see how you can say Obamacare is now to blame for increases this year. What was the cause in the preceeding years?
08:19 AM on 12/12/2011
I didn't see anything in this article about the SCAM the Pharmaceutical Companies and Insurance Companies are working AGAINST the American Public, WITH a thumbs up from our Government. Did I miss that part?

All this Cholesterol crap and the high dollars we pay only to make ourselves SICK (and I mean sick) and in some cases DEAD! This is not the only medical scam against the American Public..IF you really care to see what's going on see the VIDEO "Under Our Skin". It will shock you!!
08:15 AM on 12/12/2011
Or, you could do none of these things if your state like Ohio for example, is refusing to enact federal law.
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HUFFPOST SUPER USER
Rodger Jones
Were all in it together
09:36 AM on 12/12/2011
The Federal gov. refuses to enact federal law so I see no problem there. Taken a look at immigration laws lately?
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HUFFPOST SUPER USER
imfedup
Fight the lies.
11:41 AM on 12/12/2011
The Obama administration has deported a record number of illegal immigrants.

Now, you were saying?
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rsaillant1
He who argues facts wastes time, his & mine.
07:43 AM on 12/12/2011
This article is two (2) days old and yet there are but a handful of comments.

What was all the fuss about with "ObamaCare," a demeaning catch-phrase
invented by Republicans? All that noise, shock an awe about this healthcare
reform bill and only a dozen comments.

The "right" sure does have their finger on the pulse of the American people...NOT.

Thank you, President Obama.
HUFFPOST SUPER USER
Bishop999999999
12:22 AM on 12/12/2011
Dear America: on behalf of the Obama re-election campaign, let me toss out a few nice-sounding programs and policies from the morass of the positively door-stopping Affordable Care Act, without any mention of costs or other backroom deals that, well, you super-duper 99%-ers just don't need to know about! Hopefully this will help you forget the way we disenfranchised the representatives of millions of Americans (including those of our own party!) to get these sweeping changes made!
07:37 AM on 12/12/2011
What tripe! The right wing nay bobbers have always been behind the eight ball in social advancement. That's why you can’t point to one.

The right wing sat in the scorners seat over social security, Medicare, the Pure Food and Drug act, child labor laws, the forty hour work week, civil rights, just to mention a few. They seem to believe that life was so much better during the 19th and early 20th century because after all, that seems to be where they want to go back too. Too bad the right wing always sleeps walks through history.

There’s never been a "Golden Age" of right wing governance. You don’t produce one when all your only use is to uphold the status quo.
If you think the Affordable Care Act is bad, just see what the right wing can contrive. They had nearly complete control at the start of the 21st century and they did nothing!

America needs to come to understand that the right wing is all blow and no go!
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HUFFPOST SUPER USER
imfedup
Fight the lies.
11:41 AM on 12/12/2011
Such BS.
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just11
occupy everywhere forever
11:38 PM on 12/11/2011
Single Payer, Medicare for All is the only and best solution for the American people and the deficit.
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MichaelMcKLA
I'm moving to Pandora.
08:06 PM on 12/11/2011
I found these two paragraphs to be pretty heavy from that uninsured, cancer-stricken woman's article:

Which brings me to my apology. I was pretty mad at Obama before I learned about this new insurance plan. I had changed my registration from Democrat to Independent, and I had blacked out the top of the "h" on my Obama bumper sticker, so that it read, "Got nope" instead of "got hope." I felt like he had let down the struggling middle class. My son and I had campaigned for him, but since he took office, we felt he had let us down.

So this is my public apology. I'm sorry I didn't do enough of my own research to find out what promises the president has made good on. I'm sorry I didn't realize that he really has stood up for me and my family, and for so many others like us. I'm getting a new bumper sticker to cover the one that says "Got nope." It will say "ObamaCares."
08:16 AM on 12/12/2011
"Obamacares"...Dems need to run with that!
10:05 AM on 12/12/2011
The tragedy of this is that too many Americans do not research before they speak. The Republican machine is good at disinformation and way too many "lazy" Americans take this as fact.