The Affordable Care Act (ACA) brought many changes to the healthcare industry, including provisions that require most private health plans to cover preventive services at no cost-sharing for their enrollees. This means that individuals with private insurance coverage can receive important preventive services without having to pay out of pocket.
The ACA mandates that private health plans cover in-network preventive services at $0 cost-sharing for enrollees. This includes a wide range of preventive services, such as cancer screenings, vaccinations, and counseling for tobacco use. These services are crucial for maintaining good health and preventing serious illnesses.
According to a report by the Kaiser Family Foundation, the use of preventive services among people with private insurance coverage has increased significantly since the ACA’s implementation. The report found that in 2018, 71% of adults aged 18-64 with private insurance coverage received at least one preventive service.
The provision of free preventive services under the ACA has also helped to reduce healthcare costs in the long run. By catching diseases early and preventing them from developing into more serious conditions, individuals can avoid costly medical treatments and hospitalizations.
It’s important to note that the ACA provisions on preventive services only apply to in-network services. Out-of-network services may not be covered, and cost-sharing may still apply for non-preventive services. Additionally, the ACA’s future is uncertain, and there have been attempts to repeal or replace it in recent years.
The ACA’s coverage of preventive services at no cost-sharing has been a significant benefit for individuals with private health insurance coverage. It has increased the use of preventive services, reduced healthcare costs, and helped to promote overall health and well-being.
Agility agents, are you ACA certified yet? Learn more here!
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