Trumpcare Versus Obama Care-What You Need To Know

Medicaid Coverage is medical insurance for low-income
folks
Expanded eligibility for Medicaid to 138% of the federal
poverty level; 32 states opted to expand coverage, increasing access to
healthcare for 11 million people.
Beginning in 2020, repeals the Medicaid expansion, allowing
existing Medicaid participants to remain, but with the inability to re-enter later
if you lose your eligibility; Millions would lose their medical insurance. (Gunja,
2017)
Expanded to include mental health parity, to increase
access to health treatment for mental conditions under the essential benefit
provisions of the ACA. (Kirsten
Beronio, 2013)
Insurance companies would no longer have to offer mental
health benefits under insurance contracts.
Substance Abuse Treatment
Plans were required to offer coverage for substance abuse
treatment, comparable to other illnesses and it is estimated 5 million people
have used this benefit. (Kirsten
Beronio, 2013)
Insurance companies are not required to offer treatment
for drug addiction, which is problematic given the national crisis in opioid
addiction, currently killing 91 people a day. (Centers for
Disease Control and Prevention, 2016)
Required employers to offer medical insurance within
standardized benefit levels, or pay a fine.
Employers will no longer be required to offer medical
insurance for their employees and no fines will be levied. Small business tax
credits, to help businesses offer medical insurance are cancelled in 2020.
Impact on Individuals in Insurance Exchanges
Required pooled rates, which were spread across age bands,
not individual levels; creating more affordability. (Jost, 2016)
Insurance companies can age rate, to increase pricing
toward older participants (those most likely to need more health services).
Cost sharing provisions which helped low income people are eliminated.
Would eliminate most of the taxes except the “Cadillac Healthplan
Tax”, lower capital gains for the top 2.5% of income earners, and charge all
employees covered on insurance plans through their employers, a Value-Added
Tax (like the Canadians charge on services).
Mandated insurance plans cover birth control and women’s gynecological
exams annually.
Defunds all Planned Parenthood Services and removes the
requirement to provide wellness services or birth control.
Financial Impact on Individuals
Older low income people had greater subsidies so they
could buy medical insurance.
Older low income folks will pay thousands more per year
for medical insurance. Young people will pay less for insurance, but since
there are no penalties for not participating enrollment will decline, eroding
the overall viability of insurance exchanges.
Employer Provided Medical Plans
Employers can deduct the full cost of their medical and
other benefit plans and employees are not taxed on these benefits.
Eliminates the tax advantage for employers which will
cause the cancellation of many health plans across the nation because this is
a very expensive benefit for employers to offer. Example, your employer pays
$12,000 in insurance plan premiums for you, these would now be taxable as
income to the employee and nondeductible to the business.
Individual Penalties for Not Participating
Proof of insurance is required at income tax filing. A tax
penalty up to $695 per adult ($2,085 family) is due unless you qualify for
one of the many exemptions, which include your inability to afford insurance.
No requirement to have medical insurance, but if your
coverage lapses, you will pay a penalty (up to 30%) upon re-enrollment
regardless of your income. The penalty would be meted out by the insurance
company.
Affordable Care Act provides additional subsidies to
states for the expansion of Medicaid, to increase insurance coverage and
access to medical care across the nation.
Republican plan wants to cap any federal Medicaid
contribution to a flat amount per person, without cost-of-living increases
and not based on actual plan costs.

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