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Pre-existing condition exclusions prohibited in all health insurance plans; Prohibit treating acts of domestic violence as a pre-existing condition; Waiting period for enrollment in new health insurance plans limited to 90 days; Grandfathered existing health insurance plans must prohibit pre-existing condition exclusions by January 1, 2014
Pre-Existing Condition Insurance Plans are designed to provide affordable insurance to Americans with pre-existing conditions. The premiums are based on the standard cost of an individual health insurance policy in the health insurance pool's geographic area and out-of-pocket maximums are limited to $5,950 for individuals and $11,900 for families.
Members of the Pre-Existing Condition Insurance Program, who were given a one-month extension until the end of April 2014. [87] [88] Those who have successfully applied for exemption status based on criteria published by HealthCare.gov, who are not required to pay a tax penalty if they don't enroll in a health insurance plan. [89] [90]
Prior to the ACA, effective in 2014, the individual market was often subject to medical underwriting which made it difficult for individuals with pre-existing conditions to purchase insurance. [43] The ACA prohibited medical underwriting in the individual market for health insurance marketplace plans. [43]
But if you have known health issues, then a plan with a lower deductible and higher premiums could make more sense for you. 2. Get a tax break to offset your healthcare bills
Some major changes in 2025 include a new $2,000 out-of-pocket max under Part D, eliminating the plan’s “donut hole” coverage gap, and fewer Medicare Advantage plans.
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