10 Essential Health Benefits required by Obamacare. | TigerDroppings.com

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Revelator
Member since Nov 2008
12994 posts

10 Essential Health Benefits required by Obamacare.


1) Outpatient Care - Most health insurance plans cover this already.
2) Emergency Room Services - Most plans cover this, but may charge extra if you go to a hospital that's out of your network, or go without pre-authorization. Obamacare plans don't charge extra.
3) Hospitalization - Not all plans cover enough of this huge cost. Most people don't realize that a day in the hospital can cost between $2,000 - $20,000 a day. If you have a high-deductible plan, or a plan with a low maximum, you may be surprised by how much you wind up paying out-of-pocket. Hospitalization costs are one reason that health care is the #1 cause of bankruptcy.
4) Preventive and wellness visits, as well as chronic disease management. Preventive care visits have no copay. Obamacare requires that all 50 procedures recommended by the U.S. Preventive Services Task Force be covered as preventive services. These include well-woman visits, domestic violence screening, and support for breastfeeding equipment and contraception. For more, see Preventive Care Provision.
5) Maternity and Newborn Care - Maternity case is categorized as preventive care, is must be provided without cost. Most young people who don't have insurance will find this is a needed benefit if they become pregnant.
6) Mental and Behavioral Health Treatment - This includes treatment for alcohol, drug and other substance abuse and addiction. Patient co-pays could be as high as $40 a session, and the number of therapist visits could be limited.
7) Prescription drugs - Most plans offer this at a cost. All plans listed on the exchanges will include coverage of at least one drug in every category in the U.S. Pharmacopeia. Whatever you pay out-of-pocket for drugs will also count toward your deductible, which is not true for all insurance plans now.
8) Services and devices to help people with injuries, disabilities, or chronic conditions - Most plans cover services and equipment to help you recover from temporary injuries, like a broken leg. Obamacare plans will also cover goods and services to help you maintain a standard of living if you contract a chronic disease, like multiple sclerosis.
9) Lab tests - Obamacare plans cover 100% of preventive test, but not ones ordered if you've already been diagnosed with a disease.
10) Pediatric care - Most plans do not cover dental and vision care, which is covered by Obamacare plans. (Source: AARP, The Health Care Law's 10 Essential Benefits, September 2013)




Now how is it fair to force everyone to include all these in their plans?



This post was edited on 10/8 at 10:41 am



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Mahootney
Florida State Fan
Lovin' My German Footprint
Member since Sep 2008
4792 posts

re: 10 Essential Health Benefits required by Obamacare.


quote:

Now how is it just to force everyone to include all these in their plans?
Think of the children.
Affordable healthcare is a right.
Fair share.
Pre-existing conditions.
Any bS that will get you to give up your freedom and allow more government control.






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SlowFlowPro
Stanford Fan
Simple Solutions to Complex Probs
Member since Jan 2004
287399 posts

re: 10 Essential Health Benefits required by Obamacare.


Day late, dollar short bro





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Revelator
Member since Nov 2008
12994 posts

re: 10 Essential Health Benefits required by Obamacare.


quote:

Any bS that will get you to give up your freedom and allow more government control.



The goal of Obamacare was suppose to be," to provide all Americans with healthcare." Instead, we will only have a shift in who is covered. Many who didn't have coverage before will have it. Many who have plans that they presently like, will see them discontinued or the rates raised to a level they can't afford, forcing them to drop insurance and putting them into the category of uninsured. Great plan!






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Revelator
Member since Nov 2008
12994 posts

re: 10 Essential Health Benefits required by Obamacare.


I don't think there can be enough post about this outrageous scam of a plan.





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SSpaniel
Ole Miss Fan
Germantown
Member since Feb 2013
1514 posts
 Online 

re: 10 Essential Health Benefits required by Obamacare.


quote:

support for breastfeeding equipment


For men? Really? Isn't this a perfect example of "things that you can't all fit into one bucket, but Obamacare does anyways?"



This post was edited on 10/8 at 10:53 am


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UGATiger26
Georgia Fan
Athens, GA
Member since Dec 2009
1899 posts

re: 10 Essential Health Benefits required by Obamacare.


If Milton Friedman were not already deceased, I'm pretty sure this would have caused a heart attack.

Free to Obey!






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dante
LSU Fan
Kingwood, TX
Member since Mar 2006
6627 posts
 Online 

re: 10 Essential Health Benefits required by Obamacare.


quote:

Now how is it fair to force everyone to include all these in their plans?
Next step. All new vehicles and new homes must but able to accommodate handicapped individuals. Liberals ideas are usually "good" in concept, but they never seem to factor in the cost of implementation. Liberals are very compassionate with other peoples money.






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Colonel Flagg
New Orleans Pelicans Fan
Baton Rouge
Member since Apr 2010
9559 posts

re: 10 Essential Health Benefits required by Obamacare.


quote:

6) Mental and Behavioral Health Treatment - This includes treatment for alcohol, drug and other substance abuse and addiction. Patient co-pays could be as high as $40 a session, and the number of therapist visits could be limited.


I think more assistance and availability needs to be there for mental illness. I don't agree with the huge assistance given to treatment for alcohol, drug and other substance abuse and addiction.

The mentally ill fall into a group that really does need a safety net.



This post was edited on 10/8 at 11:27 am


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Revelator
Member since Nov 2008
12994 posts

re: 10 Essential Health Benefits required by Obamacare.


quote:

The mentally ill fall into a group that really does need a safety net.



But should a person without any mental illnesses or family history of such be forced to include it in his coverage?






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Colonel Flagg
New Orleans Pelicans Fan
Baton Rouge
Member since Apr 2010
9559 posts

re: 10 Essential Health Benefits required by Obamacare.


That is debateable.

If you are creating a safety net for the group then it really doesn't matter right? Either the plans will help cover the whole group or the government will in some way subsidize it.

The reason I say this group deserves a safety net is the nature of the disorders. The individuals have no control over really preventing the disorders. They then require medication to potentially be contributing members of society. So either way they need the assistance of others. I would just rather keep them in a state where they contribute to society.






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Quidam65
Florida Atlantic Fan
Q Continuum
Member since Jun 2010
8226 posts

re: 10 Essential Health Benefits required by Obamacare.


quote:

2) Emergency Room Services


By law in Texas, no emergency room can refuse to treat a patient on the basis of ability to pay. If the hospital doesn't have a particular service (such as cardiac surgery), the emergency room must, at a minimum, provide services to stabilize the patient for transport elsewhere.






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Quidam65
Florida Atlantic Fan
Q Continuum
Member since Jun 2010
8226 posts

re: 10 Essential Health Benefits required by Obamacare.


quote:

But should a person without any mental illnesses or family history of such be forced to include it in his coverage?


I had a close friend who was doing quite fine until 9/11 hit. Then out of nowhere, he started showing signs of instability.

Around that time my former SO decided to end our relationship. He started stalking her at work, at her apartment, calling her family and the family of her daughter (who lived with her dad).

I tried repeatedly to tell him that what he was doing was wrong and he needed help. But when I wouldn't go along with his plans, he kept calling my bosses at work to try and get me fired for "supporting criminal activity". That was the last straw and I broke off ties with him.

I met his mother when she was down her during this time, and also talked to his dad. Neither of them showed any signs of mental illness.

So just because you may not have developed signs at an early age (which is usually the case, for example schizophrenia begins to show signs between age 18-24) or have a family history, doesn't mean that it won't happen.






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macatak911
New Orleans Pelicans Fan
Metairie, LA
Member since Sep 2007
9750 posts
 Online 

re: 10 Essential Health Benefits required by Obamacare.


quote:

By law in Texas, no emergency room can refuse to treat a patient on the basis of ability to pay. If the hospital doesn't have a particular service (such as cardiac surgery), the emergency room must, at a minimum, provide services to stabilize the patient for transport elsewhere.


I wonder if they send a bill.....hmmmmmmmmmmm






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Revelator
Member since Nov 2008
12994 posts

re: 10 Essential Health Benefits required by Obamacare.


quote:

The reason I say this group deserves a safety net is the nature of the disorders. The individuals have no control over really preventing the disorders. They then require medication to potentially be contributing members of society. So either way they need the assistance of others. I would just rather keep them in a state where they contribute to society.


The problem with the mental illness issue is that it's widely abused. Many kids who simply need parental guidance or any guidance are diagnosed with ADHD and put on medications needlessly.






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Colonel Flagg
New Orleans Pelicans Fan
Baton Rouge
Member since Apr 2010
9559 posts

re: 10 Essential Health Benefits required by Obamacare.


That is a doctor/clinician problem actually IMO.

I also question the level of the effects of ADHD on kids with the diagnosis.






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BobABooey
LSU Fan
Parts Unknown
Member since Oct 2004
1165 posts
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re: 10 Essential Health Benefits required by Obamacare.


I think maternity care is vital, regardless of the age of the policy holder. We were all raised by our grandmas or great grandmas or an older auntee, right?






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Quidam65
Florida Atlantic Fan
Q Continuum
Member since Jun 2010
8226 posts

re: 10 Essential Health Benefits required by Obamacare.


quote:

I wonder if they send a bill.....hmmmmmmmmmmm


If it's a private hospital, they do.

A public hospital, well ...






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Quidam65
Florida Atlantic Fan
Q Continuum
Member since Jun 2010
8226 posts

re: 10 Essential Health Benefits required by Obamacare.


quote:

The problem with the mental illness issue is that it's widely abused. Many kids who simply need parental guidance or any guidance are diagnosed with ADHD and put on medications needlessly.


I agree that meds are overused when you're simply dealing with brats who need "the board of education, applied to the seat of discipline".






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CajunAngele
LSU Fan
Member since Oct 2012
11168 posts

re: 10 Essential Health Benefits required by Obamacare.



I believe there are actually more as it has three parts on the official site.

LINK

In the NC thread I had the working-link for the birth control part and now access is denied?

LINK






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