Here’s how the new rule will work:
- Starting with health plan or policy years beginning on or after September 23, Americans with private health insurance plans will get some new consumer protections. For example, insurance companies will be prohibited from putting lifetime limits on your coverage. And they’ll no longer be able to cancel your insurance when you get sick just by finding an error in your paperwork.
- Health coverage that was in effect when the Affordable Care Act was enacted will be exempt from some provisions in the Act if they remain “grandfathered” under a provision in the law. Under the rule issued today, employers or issuers offering such coverage will have the flexibility of making reasonable changes without losing their “grandfathered” status. For example, employers will be able to make some changes to the benefits their plans offer, raise premiums or change employee cost-sharing to keep pace with health costs within some limits, and continue to enroll new employees and their families.
- However, if health plans significantly raise co-payments or deductibles, or if they significantly reduce benefits – for example, if they stop covering treatment for a disease like HIV/AIDS or cystic fibrosis – they’ll lose their grandfathered status and their customers will get the same full set of consumer protections as new plans.
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