aca 19
Kevin Ramos
December 28, 2022

What does the Affordable Care Act not cover?

The Affordable Care Act, also known as Obamacare, was a significant piece of legislation that aimed to reform the U.S. healthcare system and increase access to healthcare for millions of Americans. While the ACA made significant progress in increasing access to healthcare, it is important to note that it did not cover everything. In this blog post, we will explore some of the things that the ACA does not cover and discuss the implications for individuals who may be seeking coverage for these types of healthcare services.

Long-term care: The ACA does not cover long-term care, which includes a range of services and support for individuals who need ongoing medical, personal, or social support due to a chronic condition, disability, or aging. Long-term care can include in-home care, assisted living, nursing homes, and other types of support. While the ACA does cover some aspects of long-term care, such as home health visits and skilled nursing facility stays, it does not provide comprehensive coverage for long-term care. This means that individuals who need long-term care may have to pay out-of-pocket or rely on other sources of funding, such as Medicaid or private insurance.

Dental and vision care: The ACA does not cover dental or vision care as a standard benefit, although some insurance plans offered through the ACA's insurance exchanges may include these benefits as optional add-ons. This means that individuals who need dental or vision care may have to pay out-of-pocket or purchase a separate insurance policy to cover these services.

Alternative and complementary medicine: The ACA does not cover alternative or complementary medicine, which includes a range of treatments and practices that are not typically covered by traditional medical insurance. This includes therapies such as acupuncture, chiropractic care, and herbal remedies. While some insurance plans may offer coverage for alternative or complementary medicine as an optional benefit, it is generally not covered as a standard benefit under the ACA.

Experimental treatments: The ACA does not cover experimental treatments, which are treatments that are still being tested and are not yet widely available or approved by regulatory agencies. This means that individuals who are interested in trying an experimental treatment may have to pay out-of-pocket or rely on other sources of funding, such as private insurance or clinical trials.

Elective procedures: The ACA does not cover elective procedures, which are procedures that are not medically necessary but are chosen by the patient for cosmetic or other non-medical reasons. This includes procedures such as plastic surgery, cosmetic dentistry, and laser eye surgery. While some insurance plans may offer coverage for elective procedures as an optional benefit, they are generally not covered as a standard benefit under the ACA.

Overall, while the ACA has made significant progress in increasing access to healthcare, it is important to note that it does not cover everything. Individuals seeking coverage for long-term care, dental and vision care, alternative and complementary medicine, experimental treatments, or elective procedures may have to pay out-of-pocket or rely on other sources of funding.

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