PHSC 2 Lecture Notes - Lecture 6: Premium Tax Credit, Original Intent, Preferred Provider Organization
7 Feb 2020
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No denial of coverage for pre-existing conditions. No changes in terms of coverage or cancellation of coverage if a condition worsens. Remove annual and lifetime dollar limits on coverage. Original intent - bridge coverage (between jobs, entering job market, or have a life event such as divorce) Originally were non-renewable, written for up to 3 months. Enough time to secure under an aca conforming plan. To circumvent aca requirements, trump administration passed regulations allowing the sale of short term, renewable health insurance plans. Pay full premium & are at risk Often either exclude or have significant limitations on benefits for mental health and substance use. Limited or no coverage for prescription drugs. Generally have dollar limits on all or specific benefits. May have higher deductibles and other cost sharing than permitted in aca-compliant plans. Insurers can turn down applicants with health problems or charge them higher premiums. Policies may exclude coverage for any benefits related to a preexisting health condition.
