Discussion Forum
A place for registered ACHA members to discuss issues with other members of the ACHA community and provide and receive support.

How Will the Affordable Care Act Help Me?

If you have been turned down for insurance or lost your insurance because of your congenital heart defect, do not have insurance because it costs too much, or just want to look at other options, the Affordable Care Act (ACA) will give you more alternatives and more power over them.

ACA has already brought changes to the way healthcare is delivered in the United States. While some of these changes occurred earlier, all of them will become law on January 1, 2014.

  • Young adults under the age of 26 can stay on their parents’ insurance.
  • Preventive services are free, meaning you do not pay extra for them after you pay your insurance premiums.
  • Insurance companies must spend 80-85% of your premium on healthcare services.
  • Insurance companies cannot limit or deny benefits for Americans living with a pre-existing condition, including heart defects. This applies to all health insurance plans purchased at either your job or individually after March 23, 2010.
  • Insurers cannot cancel your plan if you get sick.
  • Insurers cannot cancel your plan if you made an honest mistake.
  • There is no lifetime limit and no annual dollar limit on most health insurance benefits.
  • Insurers will not be able to charge you more for your insurance based on health status or gender.
  • Adults receiving Medicare under the Part D prescription drug coverage “doughnut hole” will receive 50% discounts on all brand name drugs. By 2020, the “doughnut hole” will be closed.