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Health Care Reform



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1 health insurers will be required to utilize this so that the community pays the same regardless of health status
2 limits portion of premium dollars health insurers may spend on administration, marketing, and profits
3 covered at 100% (in-network) for women’s preventative care; brand names if no generics available
6 four page double-sided document provided to applicants and enrollees with info on details and coverage examples
8 signed into law on March 23, 2010; Humana implemented the elimination of pre-ex for children (ages 18 and younger) due to this
9 routine care costs resulting from participation in these approved phase I-IV must now be covered for qualified individuals
10 these are issued as blanket accident and sickness policies, which are available to undergraduates, graduates, foreign students, and teaching assistants
11 exchange participants can choose plans in _____ categories
12 the Affordable Care Act expands this to up to 30% of total coverage costs (previously 20%)
13 will be used to determine what individuals may be eligible for premium tax credits
14 also known as premium tax credits
15 exchange plan tiers are categorized by this value
1 addresses lowering administrative costs in health care system by simplifying, standardizing, and progressing towards real-time electronic transactions
4 abbreviation for the Department of Health and Human Services, which may designate independent, outside entities to certify and/or audit health plan compliance
5 abbreviation for Summary of Benefits and Coverage
7 abbreviation for the Affordable Care Act
 
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