Friday, March 9, 2018

Government exempting itself from Obamacare rules

The government often exempts itself from rules the rest of us must follow, and it appears Obamacare is no exception. I recently discovered that Medicare Part A is considered to be qualifying coverage under the Affordable Care Act. Yet compare Medicare part A to Obamacare requirements:

Ambulatory patient services (outpatient care you get without being admitted to a hospital)
NO
Emergency services
NO
Hospitalization (like surgery and overnight stays)
YES
Pregnancy, maternity, and newborn care (both before and after birth)
In hospital childbirth only
Mental health and substance use disorder services, including behavioral health treatment (this includes counseling and psychotherapy)
Only inpatient hospital
Prescription drugs
NO
Rehabilitative and habilitative services and devices (services and devices to help people with injuries, disabilities, or chronic conditions gain or recover mental and physical skills)
Inpatient care center only
Laboratory services
Only when in hospital
Preventive and wellness services and chronic disease management
NO
Pediatric services, including oral and vision care (but adult dental and vision coverage aren’t essential health benefits)
NO

So Medicare Part A fully covers one of the ten services listed and partially covers an additional four. Yet the government considers this to be "qualifying coverage". No private health plan can offer only inpatient care (as Medicare Part A does), but Medicare gets a pass form the government.

Your government at work.

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