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Following implementation of the Affordable Care Act, HRAs must be integrated with a qualified employer-sponsored group health insurance plan to avoid excise tax penalties. [4] Using a Health Reimbursement Arrangement yields "tax advantages to offset health care costs" for both employees and employers. [1]
MEC is the minimum amount of coverage that an individual must carry to meet the individual health insurance mandate, while EHBs are a set of benefits that qualified health plans (QHPs) must offer. [12] MEC is a low threshold; many forms of coverage that do not provide essential health benefits are nevertheless considered minimum essential coverage.
People can purchase health insurance that complies with the Patient Protection and Affordable Care Act (ACA, known colloquially as "Obamacare") at ACA health exchanges, where they can choose from a range of government-regulated and standardized health care plans offered by the insurers participating in the exchange.
has retiree health coverage, such as from a previous employer. is under 65 years of age, has a disability, has a group health plan, and works for a company with fewer than 100 employees.
In 2019 Gallup found that 25% of U.S. adults said they or a family member had delayed treatment for a serious medical condition during the year because of cost, up from 12% in 2003 and 19% in 2015. For any condition, 33% reported delaying treatment, up from 24% in 2003 and 31% in 2015. [25] Coverage gaps also occur among the insured population.
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But the system can also result in uneven coverage and massive variability in what employees need to contribute to the plan, with insurance premiums for enrolled employees increasing by more than ...
avoidance of capitating or regulating premiums which are routinely and in accordance with this law, charged by an insurance company for coverage, which might make the coverage non-affordable with regard to a consumer's income [7] requiring most Americans to carry or obtain qualifying health insurance coverage or face a fine for non-compliance ...