How the Health Care Law Works for You
It is important to know what the health care law means for you and your family. There are now new benefits and protections to make health coverage more secure.
Employer-sponsored coverage is a health plan offered through your job. Even if you keep the same plan, the health care law works to protect your coverage and give you more options.
Did you know?
If you have health insurance through an employer, you probably do not have to make any changes to your coverage.
You Have More Consumer Protections
- Your health plan can't put dollar limits on how much it will pay for covered services you receive in a year (annual dollar limits) or over the life of the plan (lifetime dollar limits).
- Your health plan can't deny you coverage because of health problems you had before your insurance started (known as pre-existing conditions).
Your Coverage Goes Further
- You can keep your children on your family plan until they reach age 26—even if they don't live at home, are married or attend school.
- Your plan must spend at least 80 cents of every dollar on health care rather than on administrative costs (costs that are not related to your care).
- There are limits on what your plan can make you pay toward your deductible, coinsurance and copayments.
You Have Better Access to Care
Your plan covers more preventive care. For example, health screenings and tests for colon cancer, diabetes and heart disease are now covered if they are recommended for you. See the full list of preventive services.
It is important to know that not all of these changes will apply to all health plans right away or for some coverage for retirees. Be sure to check with your human resources department to learn more about your health plan.
Get More Information
Remember: You probably don't have to make any changes to your health coverage. Check with your human resources department to learn more about your plan's details.
- Depending on your income and the details of your employer's health plan, you may be able to get coverage through the Health Insurance Marketplace. The New Mexico Health Insurance Exchange (NMHIX) marketplace, (855) 996-6449, can help you find out about financial help to pay for your coverage. The amount of financial help is based on your family size and income. Use AARP’s Health Insurance Marketplace Calculator to get an estimate of the financial help you may qualify for and an estimate of your monthly payment (premium) for coverage you buy through the marketplace.
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