Affordable Care Act

Edit Answers
1234567891011121314151617
Across
  1. 5. Funded by government through federal grants. CANNOT sell insurance or provide advise. Helps to determine eligibility for public assistance.
  2. 6. An online application where small employers can shop & compare a variety of health insurance plans. The employer must have 50 or fewer full-time employees.
  3. 7. U.S citizens & legal residents are required to have qualifying health care coverage. Tax Cuts & Jobs Act of 2017 reduced the penalty to $0 & 0%.
  4. 9. Health plans can no longer exclude preexisting conditions (except for grandfathered plans).
  5. 12. Group or individual insurance coverage that provide dependent coverage to children of the insured must make coverage available for adult children up to _____ __.
  6. 14. Take care of yourself now to prevent costly, future, chronic conditions.
  7. 15. These plans are not required to comply with some of the consumer protections of the ACA that apply to other health plans. Existed before ACA.
Down
  1. 1. Must comply with all rules & laws of the ACA. Existed after ACA.
  2. 2. Four levels of coverage; each must cover minimum EHBs. Each represent average portion of expected costs. Percentages represent how much plan will pay.
  3. 3. This is a requirement that health plans permit you to enroll, regardless of health status, age, gender, or other factors that might predict the use of health services. Subject to rules.
  4. 4. A sum of money given by the federal government, that varies based on household income. Could be in the form of advanced premium tax credits (APTCs). Cost-sharing reduction is only available through a health plan from the silver metal tier plan category.
  5. 8. A participating provider ever subscriber & dependent must designate, who will serve as his usual source of medical care.
  6. 10. A person's income, employment status, and whether health insurance coverage is available through his/her employer determines this.
  7. 11. No pre-authorization required,whether in-network or out-of-network.
  8. 13. ACA requires states to have a health insurance exchange operated by either the state or the federal government for AEP and a qualifying SEP.
  9. 16. Also know as PPACA, Obamacare, & Health Care Reform. Signed in 2010 with some reforms. Additional reforms began Jan. 2014.
  10. 17. Health plans must be qualified to fit ACA standards. QHPs, Medicaid state plans, & insurance on the health exchange must meet requirements.