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September Brings Health Care Reform Changes

By HERWriter
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September, 2010 will bring another milestone to health care reform. In September, sweeping changes in health care reform include expansion coverage for young adults along with restrictions on an insurer's ability to impose annual coverage limits (or reject children with pre-existing medical conditions).

Beginning September 23, 2010, insurance coverage that begins on or after the 23rd will have to comply with changes that were put in place when President Barack Obama signed the health overhaul into law March 23.

For most people, the changes won't affect their plans until coverage renews in the weeks or months that follow. September highlights include:

• Insurers will be prohibited from rescinding or canceling coverage except in cases where the customer commits fraud.

• Insurers will not be able to exclude children from coverage because of a pre-existing condition but they can require parents to sign up kids only during a fixed annual enrollment period to ensure they don't wait until a child gets sick to buy coverage.

• Adult children up to age 26 will be able to receive dependent coverage with all individual and group policies.

• Lifetime limits on the dollar value of insurance coverage will be prohibited. This refers to how much your insurance coverage pays out to cover claims.

• Restrictions will be placed on annual limits for coverage, a practice that will prohibited in 2014.

• Insurers will be required to provide preventive care like immunizations or mammograms without charging co-pays or other forms of cost sharing. Some may not have to comply with this element if their coverage existed March 23 and has not changed substantially.

• Individual plans that have so-called "grandfathered status" will not have to immediately follow the new restrictions on annual coverage limits or eliminate their lifetime caps. Over time, most plans will lose their grandfathered status as they make changes in benefit designs.

The main focus of the health care reform provisions in September are consumer protections.

However, experts have cautioned that these restrictions and coverage expansions will raise the cost of insurance for some customers.

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October 8, 2010 - 11:39am
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We value and respect our HERWriters' experiences, but everyone is different. Many of our writers are speaking from personal experience, and what's worked for them may not work for you. Their articles are not a substitute for medical advice, although we hope you can gain knowledge from their insight.

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