The Affordable Care Act has subsidies available; how does one qualify? How does this differ from Medicaid?

The Affordable Care Act has subsidies available; how does one qualify? How does this differ from Medicaid?

The Affordable Care Act has subsidies available; how does one qualify? How does this differ from Medicaid?

The Affordable Care Act (ACA) is a law that addresses healthcare costs, preventive care, and coverage of health insurance by eliminating preexisting health conditions and allows young adults up to age 26 to remain on their parents’ insurance plan (MACPAC, n.d.). ACA is aimed at encouraging preventative cares such as mammograms, colonoscopies, vaccines, labs, etc in hopes to prevent illnesses (Wu, 2019). The ACA was signed in law on March 23, 2010, by President Barack Obama. There are three goals of the ACA which include: allowing more people to have affordable health insurance available to them; to cover all adults with incomes below 138% of the federal poverty level (FPL) by expanding the Medicaid program; and to support medical care delivery methods that are designed to lower healthcare costs (USA.gov, n.d.).

The Affordable Care Act has subsidies available; how does one qualify? How does this differ from Medicaid?

The subsidies are tax credits that are reflected upon a sliding scale by limiting the amount paid within monthly premiums within a percentage of your annual income. Most eligible people that earn 100%-400% of the FPL are eligible for the subsidies by applying through the government-run health insurance marketplace in the state you live through a qualifying licensed agent, and private online Marketplaces that cooperate with the government marketplace (Davalon, 2021).  87% of the 10.7 million people in 2020 that purchased health insurance on the Marketplace received ACA premium subsidies (Davalon, 2021).

The Affordable Care Act has subsidies available; how does one qualify? How does this differ from Medicaid?

Medicare differs from ACA due to Medicaid being a social welfare program that provides free health insurance for poor and qualified individuals with certain disabilities within the U.S (Barba, 2020). Medicare is funded both by the federal government and individual state governments, which the program was created to help provide health insurance to individuals that lacking the money or resources to afford coverage (Centers for Medicare & Medicaid Services, n.d.). The eligibility requirements differ state to state, however each state looks at income, household size, and citizenship status (Barba, 2020). ACA is offered by private insurance companies, businesses, and offers copay coinsurance, and deductibles whereas, with Medicaid it is 100% free to the individual and are required to be on a government-funded insurance plan (NHIA, n.d.).

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References

The Affordable Care Act has subsidies available; how does one qualify? How does this differ from Medicaid?

Barba, R. (2020). What is Medicaid. https://www.healthcare.com/what-is-medicaid-25740

Centers for Medicare & Medicaid Services. (n.d.). Medicaid.

Davalon. (2021). Everything to know about Obamacare (ACA) subsidies.

National Health Insurance Agencies (NHIA). (n.d.). The differences between ACA and Medicaid. Florida Blue.

USA.gov. (n.d.). Affordable care act (ACA). https://www.healthcare.gov/glossary/affordable-care-act/

Wu, T., & Raghunathan, V. (2019). The patient protection and affordable care act and utilization of preventive health care services among asian americans in Michigan during pre- and post-affordable care act implementation. Journal of Community Health, 44(4), 712-720. https://doi.org/10.1007/s10900-019-00628-7

RESPOND HERE

I agree with you that the Affordable Care Act (ACA) seeks to increase the affordability and accessibility of quality healthcare services. The law targets uninsured children and adults.  ACA prioritizes preventive care with minimal attention directed to treatment (Meinhofer & Witman, 2018). Preventing some illnesses is cheaper than handling sick people. Therefore, ACA becomes critical in vaccination, assessment of health complications, and preventing sicknesses. The former US President signed the ACA into law in March 2010. The increased outcry from uninsured Americans during the electioneering period compelled the President to introduce ACA. The act aimed at enabling more Americans to access affordable health insurance (Eguia et al., 2018).  However, the ACA targeted eligible adults with income below 138%. Arguably, the law targeted low-income earners. Medicare differs from ACA since Medicaid is a social welfare program. The program provides free healthcare insurance to the qualified Americans (Takvorian et al., 2020). Medicaid prioritizes Americans with disabilities. ACA does not specify on people with disabilities.  The central government finances ACA while Medicaid is under the federal government and individual state governments.