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kentuck

(111,104 posts) Sat May 6, 2017, 04:13 PM May 2017

The ten essential health benefits where Trumpcare saves money.

Last edited Sat May 6, 2017, 07:39 PM - Edit history (1)

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Essential health benefits

The ACA sets forth the following ten categories of essential health benefits,[5][6] at Section 1302(b)(1) of the Affordable Care Act, codified at 42 U.S.C. § 18022(b):[7]

Ambulatory patient services. [outpatient care]
Emergency services.
Hospitalization. [inpatient care]
Maternity and newborn care
Mental health and substance use disorder services, including behavioral health treatment.
Prescription drugs.
Rehabilitative and habilitative services and devices.
Laboratory services
Preventive and wellness services and chronic disease management;
Pediatric services, including oral and vision care.

The essential health benefits are a minimum standard: "Qualified health plans are not barred from offering additional benefits, and states may require that qualified health plans sold in state health insurance exchanges also cover state-mandated benefits."[8]

https://en.wikipedia.org/wiki/Essential_health_benefits

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The ten essential health benefits where Trumpcare saves money. (Original Post) kentuck May 2017 OP

My good guess is: frazzled May 2017 #1

This is NOT discussed in detail enough on cable or in MSM!!!!! Nevermypresident May 2017 #2

Yeah, if you don't pay for an ambulance, emergency room, hospitalization, medicine, re-hab, etc... kentuck May 2017 #3

Does it count if 45 mentioned it? justgamma May 2017 #4

With Trumpcare, the states get to decide whether to require insurance companies to provide... kentuck May 2017 #5

frazzled

(18,402 posts)

1. My good guess is:

Reply to kentuck (Original post)

Sat May 6, 2017, 04:54 PM

May 2017

There will be a lot of policies out there that will not cover a lot of stuff, and it could cost you your life.

Does your doctor order a PET scan for a heart, brain, or cancer situation? "A PET scan typically costs an average of about $4,900 for a PET scan of the whole body to $6,700 for the brain and $6,800 for the heart." (And I don't think that cost counts in the charges for a specialized technician to read and report out on the findings back to your doctor.) Not a covered laboratory service under your wonderful new plan? During my husband's chemo course, he had to have three or four of them (plus many CT-scans, laboratory tests, surgical biopsies, etc. etc.) Will the new and improved plans offered under TrumpDon'tCare cover all these procedures? I'm doubting it. Buh-bye.

Nevermypresident

(781 posts)

2. This is NOT discussed in detail enough on cable or in MSM!!!!!

Reply to kentuck (Original post)

Sat May 6, 2017, 06:22 PM

May 2017

These "essential benefits" are basically what most of us consider "Insurance"!!

When the premeditating murderers tried to pass it the 1st time, I discussed this issue with family members and friends. They thought I was crazy and had to be wrong.

Isn't it interesting that the powerful healthcare lobbies (hospitals, physicians, skilled nursing, rehab, etc.) haven't prevailed in this legislation? But, boy oh boy, Pharma and Insurance are going to continue to make out like bandits.

Thank you for starting this thread.