Sample Healthcare Paper on Lifetime cover limits

Lifetime cover limits

No. Whether a subscriber requires lifetime insurance or has one already, the Affordable Care Act, a health care regulation provides new covers and privileges which make the cover a bit easy and fair to understand. The ACA requires the subscriber’s plan to cover his/her costs for vital health benefits in order to have the coverage he/she needs. This is applicable to personal insurance as well as group insurance obtained either through the subscriber him/herself or his/her employer (Lenz & Bianchi, 2013).

This is different than in the past because on September, 2010, lifetime limits were effectively expelled for every plan that would begin or be renewed since then. Any other policy offered after that time is regarded not to be grandfathered and may not have a life limit. Insurance companies are no longer allowed to cut off subscribers when their health costs reach lifetime limit. In this case, more than a hundred million people in America used to have coverage that would end whenever medical claims would go beyond their plan’s lifetime limit. This new rule helps people especially those with serious ailments which need expensive treatment. According to a recent survey, about 10% of cancer patients said that they would hit their lifetime limit while their insurers could not compensate for further health care (Tacchino & Pratt, 2012)

Yes. The lifetime limit cover only applies to those who purchase the insurance cover through an Exchange. Since the enactment of the medical reform bill, the exchanges in all states started enrolling people as well as small companies into qualified medical policies. The Exchange operated by a state provides information to subscribers about their insurance options as well as what support is available for them. In this case, the Exchange administers the new medical insurance financial supports and facilitates enrollment with private health insurers such as Medicaid (Lenz & Bianchi, 2013).

















Lenz, A. & Bianchi, J. (2013). Staffing industry compliance with employer shared responsibility provisions of the Affordable Care Act. Employee relations law journal, 39, 28-34.

Tacchino, A. & Pratt, D. (2012). Health Care reform’s effect on the working middle class. Journal of financial service professionals, 22, 43-50.