Table 1.
Specific Provisions of the ACA With Implications for Insurance Coverage of Adult Survivors of Pediatric Cancer
Provision of the ACA | Implications for Pediatric Cancer Survivors |
---|---|
Prohibition of discrimination on the basis of health status (section 1201) | No denial or cancellation of insurance coverage due to preexisting condition or development of a new condition. |
Coverage on parents' insurance (section 1215) | Mandatory coverage allowed up to age 26 years on parents' private insurance plan. |
Change in minimum income eligibility for Medicaid (section 2001) | States can decide to raise the Medicaid minimum eligibility to 133% of federal poverty level. |
No annual or lifetime coverage limits (section 2711) | Insurance companies can no longer set annual or lifetime coverage limits for medical services. |
State-based exchanges (section 1311) | Each state will have a marketplace to purchase health insurance, with subsidies for qualifying individuals. |
NOTE. Based on authors' interpretations of specified sections of the ACA.8
Abbreviation: ACA, Patient Protection and Affordable Care Act.