|Nothing in the reforms will require you to change your insurance; however, you’ll have added piece of mind that your plan can no longer set limits on your coverage or drop you if you get sick! In uncertain economic times, if you lose your job, you’ll be able to stay covered.
- If you get sick, insurers will no longer be able to drop your coverage
- No more lifetime caps on your benefits
- Qualified plans will cover preventive services with no co-payments and no deductible
- Increased transparency of health insurance companies. They will report the proportion of premium dollars that they spend on patient care vs. administration, profits, and marketing.
- New option to purchase long‐term care insurance through voluntary payroll deductions
- Receive a rebate from your insurance company if they spend more than 15% of premium dollars on administration, marketing and profits instead of patient care in the large group market. For the individual and small group market, the threshold is 20%.
- Limit the amount of contributions to a flexible spending account for medical expenses to $2,500 per year increased annually by the cost of living adjustment.
- Annual benefit caps would be prohibited for all plans
- Currently, 17% of your premium pays for other’s uncompensated care. This cost shift should be minimized by 2014
- Marylanders making up to 400% of the federal poverty level ($88,200 for a family of four) who purchase insurance on their own will be eligible for tax credits to help them afford private health insurance premiums.
- If your share of the premium for your employer coverage exceeds 9.5% of your income or your employer’s plan doesn’t have an actuarial value of at least 60%, you could also qualify for the premium tax credits
- Language explaining what’s in your plan will be simple and clear so that you know what your benefits are and which doctors are covered
- Premiums will no longer be based on health status