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Insurance Exam - Unit 13: Affordable Care Act correctly answered to pass
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Insurance Exam - Unit 13: Affordable Care Act correctly answered to pass
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Insurance Exam - Unit 13: AffordableCare Act
Affordable Care Act - correct answer ✔✔as signed into law by President Obama in 2010. The law has
also been referred to as Patient Protection and Affordable Care Act (PPACA), Obamacare, or Health Care
Reform. Some ACA provisions were implemented in 2010, while others happened later.
Grandfathered Health Policy - correct answer ✔✔one that existed prior to the Affordable Care Act. Costs
cannot be increased and benefits may not be reduced on these policies.
No grandfathered Health Plans - correct answer ✔✔must comply with all rules and laws of the ACA.
Individual Mandate - correct answer ✔✔Insurance provided by employers satisfies this universal health
insurance mandate. Individuals who lose or choose not to purchase qualifying coverage must pay a tax
penalty.
Minimum Essential Coverage - correct answer ✔✔U.S. citizens and legal residents are required to have
qualifying health care coverage
Essential Health Benefits - correct answer ✔✔Health plans must be qualified to fit ACA standards.
QHPs, Medicaid state plans, and insurance on the health exchange must meet requirements.
Emergency Medical Services - correct answer ✔✔The ACA provides that emergency services are
essential health benefits (EHBs). When an emergency occurs, no pre-authorization may be demanded by
insurers, whether the insured seeks help in-network or out-of-network.
Primary Care Provider - correct answer ✔✔Every subscriber and dependent must designate a
participating primary care provider (PCP) who will serve as his usual source of medical care.
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