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Features : Medical News Last Updated: Aug 12, 2010 - 2:33:10 PM


Here's what you need to know now about health care reform
By Reese McFaddin
Jul 21, 2010 - 10:36:43 AM

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Reese McFaddin, Workplace Benefits

Regardless of your political, personal or philosophical views on health care reform, it is now the law of the land and many of us will be impacted by changes in the way we receive health care coverage.

Yet weeding through the many details is daunting and – unless this is your area of expertise – probably quite confusing. A number of questions remain and even the government has yet to figure out just exactly how all this will work.

Even though most changes aren’t scheduled to take effect until 2014, some areas will be impacted much sooner. Here’s an outline of what this means for you or your business in the coming months.

Now:

If you are an individual with a pre-existing condition who has not been able to buy health insurance, newly-created state and federal high-risk health insurance pools may offer you an option. Because these pools accept anyone for any condition, expect high premiums; however, the government plans to partially subsidize these payments. Once the exchanges go into effect, you will see these high risk pools eliminated.

By the end of 2010:

· Small businesses that employ fewer than 25 employees and contribute more than 50 percent of the employee-only premiums may be eligible to receive a tax credit (from 2010-2013) up to 35 percent of the premiums the business pays for each employee.

 

· Lifetime maximums will be a thing of the past, which means your policy will pay an unlimited amount for any or all of your medical conditions.

 

· Children who are applying for coverage will no longer be denied coverage because of a pre-existing condition.

 

· Dependent children will be able to stay on their parents’ plan until the age of 26.

 

· Preventative visits will be covered at 100 percent, which means no co-pay or deductible will be charged.

 

 

2011 and beyond:

 

· If you have Medicare and have reached your "donut hole" for prescriptions (the point at which you become responsible for payment), you will be able to have your drugs refilled at a 50 percent discount.

 

· Anyone with a Health Savings Account will no longer be reimbursed for non-medical expenses.

 

· Employers who implement a wellness program for their employees could receive funds to help continue the plan for up to five years.

 

 

Reese McFaddin is the owner of Workplace Benefits on Daniel Island, helping individuals and businesses select the best health and other insurance products for their financial situations. For more information, call 843-856-3757 or visit www.benefitwork.com.

 

 

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