What's more, they'll be able to impose lifetime and annual limits on health care coverage, which could screw over millions of Americans. That means that, in addition to the potential 23 million people already projected to lose
health insurance, this component of the bill could impact millions more—including people who get their health insurance from their employers, rather than from the exchanges or through Medicaid. "If you get rid of the essential health benefits, you get rid of the caps," says Donovan. According to New York magazine, like the version that passed in the House, the Senate's health care bill will allow states to opt out of the Affordable Care Act's essential health benefits requirements . If you haven't heard of annual or lifetime limits for health care plans, they're exactly what they sound like.
Kennedy Forum Shines Light on Need to Update Health Insurance Appeals System
Part of those efforts must include improving the
health insurance appeals systems. The Federal Parity Law requires most U.S. health insurance plans to provide behavioral health coverage equal to the coverage offered in
medical/surgical benefits. Kennedy elaborates, "The time is now to have a serious public policy discussion both at the federal and state levels about improving the health insurance appeals system. About the Kennedy ForumFounded in 2013 by former Congressman Patrick J. Kennedy (D-R.I.), the Kennedy Forum focuses on advancing evidence-based practices, policies, and programming in behavioral health. The nonprofit organization publishes frequent issue briefs and is a repository of other educational resources on behavioral health parity issues.
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