Do I need to have have insurance for myself by 2014?
Yes. This is part of the Patient Protection and Affordable Care Act (PPACA) signed into law by President Barack on March 23, 2010. Part of the mandate requires all individuals not covered by an employer sponsered health plan, Medicaid, Medicare, or other public insurance programs (ex, Tricare, CHAMPVA) to secure an approved private insurance policy or pay a penalty. There are a few exceptions to this mandate.
What is the difference between the Affordable Care Act (ACA) and Obamacare?
There is no difference. They are the same thing.
What is CoveredCA?
CoveredCA is California state's healthcare exchange market. The insurnace plans offered through covered california are the EXACT same plans that you can sign up for directly through the insurnaces. The only difference is that if you meet the income requirements then you may qualify for a government subsidy to help you pay for your monthly insurnace premiums only if you purchase them through CoveredCA.
Who can sign up for CoveredCA?
Only residents of California can use this website to sign up for healthcare. Specifically, individuals not covered by an employer sponsered health plan, Medicaid, Medicare, or other public insurance programs (ex, Tricare, CHAMPVA) can now sign up for affordable healthcare themselves. Small businesses can also utilize this market to buy insurance for their employees.
How do I sign up in California?
Each state is different, in California the website for the healthcare exchange is www.coveredca.com. You can also sign up by calling (800)300-1506.
How will the ACA affect my child's vision coverage?
Every plan on the healthcare exchange must be a qualified health plan (GHP) having all 10 elements of the Essential Health Benefits (EHB). One of the elements being pediatric services including dental and vision care for children under age 19.
Who does the pediatric vision benefit cover?
Anyone under the age of 19.
What does the pediatric vision benefit cover?
One routine eye exam and basic pair of glasses (or contact lenses) per year.
Do I have to buy additional vision insurance to have the pediatric vision benefit?
No, this benefit is embedded in your medical insurance plan. In fact, most medical plans wil have a different company adminstering their pediatric vision benefit. The companies that are administering a vast majority of the vision benefits for the ACA in California are EyeMed, BlueView Vision, VSP, and MES.
Does your office accept plans bought on California's Healthcare Exchange?
We accept most vision plans and some medical plans. Please call us to verify. In most instances, even if we do not accept your medical plan, we can still see your child for their routine pediatric vision exam.
I am over the age of 19, can I buy vision coverage on the exchange?
At the moment, no. This may change in 2015.
Do you have a specific question? Email us at firstname.lastname@example.org. We will be updating ACA Pediatric vision benefit information as they become avaliable to us. Please keep checking back for more information.
FAQ: California's Healthcare Exhange and Pediatric Vision Benefits