Healthcare Reform – Pre-Existing Conditions, Benefit Limits, Rescission & Patient Protection Rules

Healthcare Reform: Pre-Existing Conditions, Benefit Limits, Rescission & Patient Protection Rules

Healthcare Reform: Pre-Existing Conditions, Benefit Limits, Rescission & Patient Protection Rules examines the principal coverage provisions of the Patient Protection and Affordable Care Act (ACA) The requirements of the ACA and the associated regulations addressed in the course are those relating to grandfathered health plans, ensuring patient protections, excluding coverage for pre-existing conditions, imposing annual and lifetime benefit limitsĀ for essential health benefits, and rescinding health coverage.

Upon completion of this course, the student should be able to

  • Explain the rules applicable to grandfathered health plans;
  • Describe the rules governing the use of pre-existing condition exclusions in group and individual health insurance plans;
  • Discuss the annual and lifetime benefit limit rules applicable to essential health benefits under healthcare reform legislation;
  • Identify the conditions that would permit an insurer to rescind health insurance coverage and the applicable notice requirements; and
  • Explain the patient protection provisions of healthcare reform.

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