The Affordable Care Act (ACA) has already changed many things. Federal medical loss ratio requirements become enforceable for the first time this year, and both insurers and employers begin paying an annual fee that will help fund patient-centered outcomes research. Based on provisions that took effect previously, plans must cover dependent children up to age 26. There are no lifetime dollar limits on “essential” health benefits, and only certain annual dollar limits on “essential” health benefits unless the plan received a temporary government waiver from this requirement.
It is impossible to predict at this point how the Supreme Court will rule and whether the law will change. The ACA is the law, and we are prepared and ready to meet new requirements as they become effective. If the law does change, we remain committed to keeping you informed of any new developments and related next steps.
Visit Health Reform Connection to stay informed on health care reform.
Source: Aetna CustomerLink, May, 2012