{ "id": "R43233", "type": "CRS Report", "typeId": "REPORTS", "number": "R43233", "active": false, "source": "EveryCRSReport.com", "versions": [ { "source": "EveryCRSReport.com", "id": 424479, "date": "2013-09-19", "retrieved": "2016-04-06T23:16:21.770812", "title": "Private Health Plans Under the ACA: In Brief", "summary": "This report provides short descriptions of health plans that may be offered inside and outside of exchanges: \nqualified health plans;\nchild-only plans;\nmulti-state plans;\nhealth cooperatives;\ncatastrophic and other high deductible health plans;\nstand-alone dental plans;\nnongroup, small group and large group plans;\ngrandfathered plans;\nself-funded (self-insured) plans; \nunion plans; \nretiree-only plans; and\nvision plans, ancillary insurance products, and limited-benefit plans.\n\nIn addition, this report indicates the applicability of select ACA market reforms to private health plans. The following market reforms are discussed in this report:\nprohibition on lifetime dollar limits;\ncoverage of preventive health services with no cost-sharing;\nextension of dependent coverage;\nminimum medical loss ratio (MLR);\nessential health benefits (EHBs);\nminimum actuarial value (AV);\nprohibition on annual dollar limits;\nnon-discrimination based on health status;\nguaranteed issue and guaranteed renewability;\ncoverage of preexisting health conditions; and\nrating restrictions.", "type": "CRS Report", "typeId": "REPORTS", "active": false, "formats": [ { "format": "HTML", "encoding": "utf-8", "url": "http://www.crs.gov/Reports/R43233", "sha1": "fc880b21d4f6a6a5a4c43b3e0c7203d04012a5ea", "filename": "files/20130919_R43233_fc880b21d4f6a6a5a4c43b3e0c7203d04012a5ea.html", "images": null }, { "format": "PDF", "encoding": null, "url": "http://www.crs.gov/Reports/pdf/R43233", "sha1": "7b2deaa893d2af18ef1da4db7ee68421b6dc7663", "filename": "files/20130919_R43233_7b2deaa893d2af18ef1da4db7ee68421b6dc7663.pdf", "images": null } ], "topics": [] } ], "topics": [ "Health Policy" ] }