The Affordable Care Act is in the news a lot these days.
In the past week alone, it’s been mentioned in the media over and over again, from a report that the government is already paying for some health care to the resignation of a top health and human services official over a proposed limit on health care coverage.
The ACA has also been discussed in more than a few other articles and stories this year, most notably by The Wall Street Journal.
So it was a bit surprising to learn that some of the ACA’s major supporters had some serious doubts about its effectiveness.
They’re not alone.
But the lack of clarity about the ACA has left people with health insurance policies that were written to meet the new standards of the Affordable Care Code (ACA) vulnerable to sudden financial shocks, according to a new report by the advocacy group Families USA.
They are vulnerable because the ACA, as the new law, requires insurance companies to collect the full amount of the deductible.
That means that, in some cases, a deductible increase will force people to pay more than the ACA mandate, said Erin O’Toole, the group’s executive director, in an interview with New York magazine.
The Affordable Health Care Act, which took effect on Jan. 1, requires health insurance companies that offer coverage to offer plans with a $100 deductible, up from $75.
For a typical plan with a deductible of $100, the deductible is set to go up by $2 per month.
That’s a big change for many people, because the plan with the lowest deductible would likely not have much of a savings, said O’Doherty, who’s worked on health reform and other issues for nearly 40 years.
And because of the change, most people won’t see a deductible decrease.
“They’re going to be hit with a huge increase in the cost of their insurance,” O’Donoghas said.
The new rule also means that some people who qualify for a low-cost, catastrophic insurance policy will have to pay an extra $100 to cover the deductible of their first-time catastrophic insurance premium.
For those people, the change will result in an average of $13 more a month for their policy, according the report, published on Monday by Families USA, a nonprofit that advocates for health care access for low-income Americans.
“We know that a lot of people are going to lose coverage because of this change,” O’mohs said.
“And there will be some people whose premiums go up a lot more than others, and we’ll see them go bankrupt.”
The problem for people like her is that most of the time, the increase in premiums is relatively minor.
But if her family had to pay the extra $2 a month, that would cost them about $5,000 in lost income, or about $1,300 a year.
That might not sound like much, but it could be enough to make a life-changing financial impact on many families.
“I think people need to pay a lot less, but there’s still a lot that can be done,” O’doherty said.
But people will be hit hardest by this change.
The report found that nearly half of people who buy insurance through an ACA marketplace will have their premiums increased by more than $100 because of changes in the ACA.
And about half of them will have a deductible change of more than 50%.
That’s about one in six enrollees who buy through an exchange, according in the report.
The vast majority of people enrolled in an ACA plan who will see a substantial increase in their premiums will see that increase offset by a small increase in deductibles and co-payments, the report said.
Those numbers, O’Donells said, are a big reason why insurers are reluctant to change their policies to meet ACA requirements.
The law does not allow insurers to increase premiums on plans that don’t meet ACA standards.
In order to meet its requirements, the ACA requires insurance plans to include a set of health benefits that people can use when deciding how much to spend on medical care.
Those benefits are called essential health benefits (IHBs), which the ACA defines as having a list of medical services and activities that people should be doing and not doing to stay healthy.
Essential health benefits, which vary from state to state, can include a list that says, “No smoking, no alcohol, no tobacco, no caffeine,” as well as other details.
Some people will see an increase in IHBs as a result of the new deductible requirement.
But those people may also see an even larger increase in costs, O’doahes said.
They will have more out-of-pocket costs, which are more expensive because they include things like deductibles, co-pays, and coinsurance.
Those people will have higher premiums because of those costs, too.
They also will have greater deductibles because their insurers are more likely to limit their claims