Skip to main content

Dropping Essential Health Benefits Would Lead to Health Plans that Cover Little

from Center on Budget and Policy Priorities:
The White House and House Republican leaders are reportedly negotiating with House Freedom Caucus members to eliminate federal minimum benefit (“Essential Health Benefits”) standards for individual and small-group market plans as part of the House health bill.
That would leave many people with pre-existing conditions unable to find the coverage they need at any price, much less an affordable one; would result in women being charged more than men; and expose many people with health insurance to unaffordable bills, and possibly even putting them at risk for medical bankruptcy.
What’s more, eliminating Essential Health Benefit standards could weaken the ACA’s core protections even for people with coverage from large employers.
The ACA’s prohibition on annual and lifetime limits is tied to the definition of Essential Health Benefits. Thus, repeal of Essential Health Benefit standards could make this protection meaningless, putting almost all Americans with private health insurance coverage — not just those with individual or small-group market coverage — at risk.
Find out what is included in Essential Health Benefits with our interactive feature.

Popular posts from this blog

Pandemic Snap benefits: Free and Reduced Lunch Recipients

Pandemic Snap benefits: Those that have children on free and reduced lunch will receive their EBT card in the mail by the end of May if you are not already receiving SNAP benefits. It will be $319 per school aged child. You do not need to apply for this benefit. The DOE will provide your information to FSSA. https://www.in.gov/fssa/dfr/ 5767.htm?fbclid= IwAR0zhdr9tS1wMovtNNPngc55HCms QSX_4k_E_ GRAjPpNRHWF5ExZgCLUjOE

Sample Medical Order, Letter of Medical Necessity and Appeal Letter for #ABA Services

From The Arc Autism Insurance Project in collaboration with Family Voices Indiana and About Special Kids Feel free to contact Family Voices Indiana at 317 944 8982 or info@fvindiana.org if you need additional resources or support. Sample Medical Order, Letter of Medical Necessity and Appeal Letter for ABA Services – Medicaid under EPSDT (ages 0-21) EPSDT – Early, Periodic Screening Diagnosis and T reatment MEDICAL TREATMENT ORDER SAMPLE FORMAT The prescribing physician should include: Physician’s order for ABA therapy Letter of medical necessity written by the physician or ABA provider, which includes: Patient history Diagnosis and prognosis Description of recommended services and explanation of why the services are medically necessary What the benefit to the patient will be, and Recommended length of time for the services Medical Necessity According to the Health and Human Services website: Medical Necessity under EPSDT   In a rep