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The Problem

The Problem. Insurance companies could take advantage of you and turn away the 129 million Americans with pre-existing conditions. Premiums had more than doubled over the last decade. Tens of millions were underinsured, and 50 million Americans had no insurance at all.

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The Problem

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  1. The Problem Insurance companies could take advantage of you and turn away the 129 million Americans with pre-existing conditions. Premiums had more than doubled over the last decade. Tens of millions were underinsured, and 50 million Americans had no insurance at all. Insurers charged women up to 50 percent more for coverage that didn’t even cover their basic needs.

  2. The Health Care Law In March 2010, President Obama signed into law theAffordable Care Act.

  3. What the Law Means for You: 4 Things to Know Ends the worst insurance company abuses Makes health insurance more affordable Strengthens Medicare Provides better options for coverage

  4. The Law Stops Insurance Companiesfrom Taking Advantage of You TODAY, it is illegal for insurance companies to: • Put a lifetime cap on how much care they will pay for if you get sick. • Cancel your coverage when you get sick by finding a mistake on your paperwork. • And more…

  5. The Law Stops Insurance Companiesfrom Taking Advantage of You “Low Health Insurance Caps Leave Patients Stranded” -- USA Today “WellPoint Routinely Targets Breast Cancer Victims for Rescission” -- The Huffington Post

  6. The Law Keeps Your Children Healthy The law makes it illegal to deny coverage to children because of a pre-existing condition like asthma or diabetes. “My son Wesley has an eye condition called strabismus, and I’d been worried because we already had one insurer drop us and another exclude Wesley’s condition from coverage. Then, as the new patient protections under health reform began to take effect, we finally had the option of buying affordable health insurance without any exclusions for pre-existing conditions for Wesley.” --Dawn J. in Florida

  7. The Law Makes Health Insurance More AffordableIn many cases, you can get preventive services for free: • Cancer screenings such as mammograms & colonoscopies • Vaccinations such as flu, mumps & measles • Blood pressure screening • Cholesterol screening • Tobacco cessation counseling and interventions • Depression screening • And more… Visit www.healthcare.gov/prevention for a full list.

  8. The Law Makes Health Insurance More Affordable and Helps Keep Women Healthy Free preventive services for women include: • Well Woman Visits • All FDA-approved contraception methods and contraceptive counseling • Mammograms • Pap smears • HIV and other sexually transmitted infection screening and counseling • Breastfeeding support, supplies, and counseling • Domestic violence screening and counseling Visit www.healthcare.gov/prevention for a full list and implementation dates.

  9. The Law Makes Health Insurance More Affordable 60% / 40% 80% / 20% BEFORE, insurance companies spent as much as 40 cents of every premium dollar on overhead, marketing, and CEO salaries. TODAY, the new 80/20 rule says insurance companies must spend at least 80 cents of your premium dollar on your health care or improvements to care. If they don’t, they must repay the money.

  10. The Law Makes Health Insurance More Affordable “Health rebate checks arriving under Affordable Care Act” -- The Tampa Tribune “Missouri, Illinois customers getting rebates under health care law” -- St. Louis Post-Dispatch “Health insurance rebates to go to 81,000 Ohio policyholders” -- Cleveland Plain Dealer

  11. The Law Makes HealthInsurance More Affordable BEFORE, small businesses paid an average of 18 percent more for health insurance than large companies. TODAY, small businesses can get tax credits to help pay for coverage for their employees. “We got about $7,400 as a tax credit back…. It’s the first time in twelve years that I’ve actually seen a reduction in cost.” --Louisa M. in Florida

  12. The Law Strengthens Medicare • Free preventive services such as mammograms, osteoporosis screening and an annual wellness visit. • A 50% discount on covered brand-name medications for those in the prescription drug donut hole – an average savings of more than $650 per person. • Strong anti-fraud measures, including tougher penalties for criminals.

  13. The Law Strengthens Medicare “I am a grandmother who is trying to assist a grandson with his education. I take seven different medications. Getting the donut hole closed, that gives me a little more money in my pocket.”   - Helen R. in Pennsylvania

  14. The Law Provides Better Options for Getting Coverage For millions of Americans who buy their own coverage, lose their coverage, or have no coverage at all, the law provides better options.

  15. The Law Provides Better Options for Getting Coverage Young adults under the age of 26 can now stay on their parents’ health plans. “I honestly don’t know what we would have done…. There was no way we could have afforded it. I might not be here right now.” --Kylie L., 23, in Illinois, who credits the health care law for enabling a life-saving heart transplant

  16. The Law Provides Better Options for Getting Coverage There are new plans in every state for people who have been locked out of the insurance market because of a pre-existing condition like cancer or heart disease. “When I was diagnosed, they told me I had a 60 percent chance of being cured. That's pretty good odds, but I was also terribly worried about finances. Now I don't feel like we can't afford the treatment." --Gail O. in New Hampshire For more, visit www.PCIP.gov.

  17. The Law Provides Better Options for Getting Coverage Starting in 2014: • Discriminating against people with pre-existing conditions. • There will be new State-based marketplaces – called Affordable Insurance Exchanges – where you’ll have a choice of private plans. • Tax credits will make buying insurance more affordable.

  18. The Law Provides Better Options for Getting Coverage and Ends Discrimination Against Women Insurers can no longer charge women more just because they’re women. AND All plans in the new marketplaces must cover essential women’s health care like maternity care.

  19. The Law Provides Better Options for Getting Coverage So no matter what happens, you’ll have access to affordable health insurance.

  20. The Law Increases Access to CareThere are thousands of new doctors and nurses in communities around the country and millions more patients getting care.

  21. The Law Is Paid For Numerous independent experts have confirmed that the law will not add a dime to the deficit.

  22. 4 Things to Remember About the Law Ends the worst insurance company abuses Makes health insurance more affordable Strengthens Medicare Provides better options for coverage

  23. Learn More http://www.healthcare.gov/

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