Obamacare: Top 10 Things You Should Know

Obamacare: Top 10 Things You Should Know

Obamacare: Top 10 Things You Should Know

Obamacare, The Patient Protection and Affordable Care Act (PPACA) or the Affordable Care Act (ACA), has been in effect since 2010, but private citizens have likely not felt or understood the consequences.  However, by January of 2014, more than 45 million Americans will be required to get health insurance under the most disputed part of the law, the individual mandate.  Here are the top 10 things you should know about the health care law or Obamacare.

1.Mandatory coverage provision – Under the PPACA, Americans will be required to have health insurance coverage by January 1, 2014.  Those who do not obtain it will be fined a premium each year.


$95 or up to 1% over the filing minimum whichever is greater, rising to a minimum of $695 for individuals and   $2,085 for families, or 2.5% of income over the filing

By 2015, the fine increases to $325 or 2% of your annual income

In 2016 it will be 2.5% of income or $695


Religious reasons and members of health care sharing ministries, an organization that assists the sharing of health care costs between individual members who have common religious or ethical beliefs

Those who cannot afford it because the lease expensive policy would exceed 8% of their income

The theory behind the mandatory coverage provision is to discourage people from attaining insurance as soon as they find out they are ill.  Because of the new pre-existing condition provision in the law, it would be possible to go without insurance until an illness struck, the mandatory coverage provision would prevent that from happening.

Obamacare: Top 10 Things You Should Know

Obamacare: Top 10 Things You Should Know

2.Health insurance exchanges areestablished – For those who do not have insurance available to them through an employer or spouse, insurance will be available through a public exchange.  Internet websites will become accessible in October so participants can compare pricing.


For those who earn between 133% – 400% of the poverty level, a governmental subsidy is available

3.Medicaid eligibility expanding in some states – For those states that opt to participate, Medicaid will be increasing their eligibility to include those who earn up to 133% of the poverty limit.

*June 14, 2013

As of June 14, 26 states are participating, 1 is leaning towards participating, 6 are leaning towards not participating, 13 will not participate, and 4 are pursuing an alternative model – according to American Health Line

4.Pre-existing conditions are a thing of the past – Insurers can no longer deny coverage based on previous illnesses, or gender.  Additionally, they cannot charge a higher rate regardless of prior medical claims for any reason.

5.No annual caps on care – No longer will insurers be allowed to place a cap on the amount of coverage you are allotted per year.  While most never hit their annual cap, one accident or significant illness can cripple a family or individual financially.  Under the PPACA, there will be no limits.

Obamacare: Top 10 Things You Should Know

Obamacare: Top 10 Things You Should Know

6.Flexible Spending Accounts (FSA) are limited to $2,500 – There is a limit to the tax break for FSA’s at $2,500 across the nation regardless of the cap maintained by an employer.

7.Businesses with over 50 employees must offer health insurance – All businesses who employ over 50 people must offer health insurance or they will be fined.


$2,000 per employee

8.Congress to receive the same level of care as their constituents – Members of Congress will no longer have a premium level of insurance; they will be offered a plan equitable to that of the American public.  The plan they and their staff have, the Federal Employees Health Benefits Program, will no longer be available.

9.It will take 10 years for all of the changes to take effect – While some of the biggest changes will occur January 2014, the law was not meant to happen overnight.  Some other upsets are still coming:


Doctor’s pay to be determined by their quality of care, using the Medicare fee schedule


Existing health insurance plans must cover preventative care and checkups without a co-payment


Medicaid will be extended to cover former foster care children who are under the age of 25, for at least six months

Obamacare: Top 10 Things You Should Know

Obamacare: Top 10 Things You Should Know

10.Premiums must be consistent – Premiums can only vary based on region, age, family size, and tobacco use.  They cannot be based on gender, race, or any other factor.

Obamacare, aka PPACA or ACA, is confusing, convoluted, and feels like we are being governed with an iron fist.  Being penalized with a fine for something some cannot afford or others will not use does not give the impression of the land of the free or the home of the brave anymore.

While President Obama may have embraced the term Obamacare even though others meant it as a derogatory remark, consider what Donald Trump had to say about it, “Let me get this straight … we’re going to be ‘gifted’ with a health care plan we are forced to purchase and fined if we don’t?” (cumberlink.com)

By Dawn Cranfield

Senior Correspondent / Product Specialist

Source Article

2 Responses to Obamacare: Top 10 Things You Should Know

  1. The Artful Nudger June 23, 2013 at 9:57 pm

    The fact that the pictures are all sourced from heritage.org tells me all I need to know about this publication. This, combined with Stasia Bliss, means that I won’t be coming back to this “newspaper”.

    • Graham Noble June 25, 2013 at 7:12 pm

      Since our publication produces numerous articles that cover the view from both sides of the political “fence”, I can only assume that you want anything you do not agree with to be banned, which is a typical left-wing attitude.

      Graham J Noble
      Chief Senior Editor, World News, Sports & Politics
      The Guardian Express


We will read your comment immediately so leave a remark!

RSS Guardian Express

  • NBA Playoffs Houston Rockets vs Portland Trail Blazers Preview April 19, 2014
    If star players are what NBA fans want to see in the playoffs, the upcoming series between the Houston Rockets and the Portland Trail Blazers is going to deliver. The two teams had four all-stars between them, and a number of other big name players. Houston edged out Portland for the four seed and home […]
    Brian Moore
  • Students Pitch Moon Colony Plan to NASA, Has Potential April 19, 2014
    On Thursday this week, a group of 40 senior students from Purdue University, presented their moon colonization plans to a very full room. Listening in were a few of NASA’s administrators, eager to collect ideas and provide feedback. Ever since scientists and aeronautics professionals have looked further into the possibility of sustaining human life outside [
    Brad Johnson
  • NBA Playoffs Dominated by Western Conference April 19, 2014
    This NBA season the Western Conference has proven to be more dominant than the Eastern Conference, as the lowest seeded playoff team in the West has a better record than the third seeded team in the East. This story has been a common theme in the NBA playoff picture for the past 15 years thanks […]
    Eric Kummel
  • Green Bay Packers Singles Can Now Find Love [Satire] April 19, 2014
    Fans of the Green Bay Packers can now find love anywhere thanks to the latest dating web site, GreenBayPackerLovers.com. Cheese head singles looking for the love of a significant other who also who is a Green Bay Packer fan finally have a place to go. Obviously this was long overdue. Of course some would argue Wisconsin is […]
    Mick Varner
  • Separatists Reject Ukraine Deal, Will Not Evacuate Government Buildings April 19, 2014
    The US, Russian, Ukraine and the European Union came to an agreement on Thursday in Geneva, Switzerland to put an end to the crisis in Ukraine. The agreement  calls for the pro-Russian separatists to evacuate occupied government buildings and lay down their arms. It also calls for the interim Ukrainian government to restructure its current […]
    Nathaniel Pownell

Enter your email address to subscribe to this blog and receive notifications of new posts by email.

Join 626 other subscribers