Fact Sheets & Frequently Asked Questions (FAQs)

Affordable Care Act
Consumer Support and Information
Content Requirements for Healthcare.gov
Pre-Existing Condition Insurance Plan (PCIP)
Affordable Insurance Exchanges
Premium Stabilization Programs
Consumer Operated and Oriented Plan (CO-OP) Program
Other Insurance Protections
Health Market Reforms

Affordable Care Act

FAQs

September 20, 2010
Affordable Care Act Implementation FAQs (Set 1)
This set of FAQs addresses implementation topics including compliance, grandfathered health plans, claims, internal appeals and external review, dependent coverage of children, out-of-network emergency services, and highly compensated employees.
October 8, 2010
Affordable Care Act Implementation FAQs (Set 2)
This set of FAQs addresses grandfathered health plans, dental and vision benefits, rescissions, preventive health services, and ACA effective date for individual health insurance policies.
October 12, 2010
Affordable Care Act Implementation FAQs (Set 3)
This set of FAQs addresses the exemption for group health plans with less than two current employees.
October 29, 2010
Affordable Care Act Implementation FAQs (Set 4)
This set of FAQs addresses grandfathered health plans.
December 22, 2010
Affordable Care Act Implementation FAQs (Set 5)
This set of FAQs addresses a variety of ACA implementation topics, the HIPAA nondiscrimination and wellness program rules, and the Mental Health Parity and Addiction Equity Act of 2008.
April 1, 2011
Affordable Care Act Implementation FAQs (Set 6)
This set of FAQs addresses grandfathered health plans.
November 17, 2011
Affordable Care Act Implementation FAQs (Set 7)
This set of FAQs addresses the Summary of Benefits and Coverage and Uniform Glossary requirements of PHS Act §2715 and the Mental Health Parity and Addiction Equity Act of 2008.
February 9, 2012
Frequently Asked Questions from Employers Regarding Automatic Enrollment, Employer Shared Responsibility, and Waiting Periods (PDF - 93 KB)
This Bulletin provides information on questions from employers and other stakeholders regarding the provisions of the Affordable Care Act governing automatic enrollment, employer shared responsibility, and the 90-day limitation on waiting periods.
March 19, 2012
Affordable Care Act Implementation FAQs (Set 8)
This set of FAQs addresses the Summary of Benefits and Coverage requirements of PHS Act §2715.
May 11, 2012
Affordable Care Act Implementation FAQs (Set 9)
This set of FAQs addresses the Summary of Benefits and Coverage requirements of PHS Act §2715.
August 7, 2012
Affordable Care Act Implementation FAQs (Set 10)
This FAQ addresses the Summary of Benefits and Coverage requirements of PHS Act §2715.
January 24, 2013
Affordable Care Act Implementation FAQs (Set 11)
This set of FAQs addresses various ACA implementation topics.
February 20, 2013
Affordable Care Act Implementation FAQs (Set 12)
This set of FAQs addresses limitations on cost-sharing under the ACA and coverage of preventive services.
March 8, 2013
Affordable Care Act Implementation FAQs (Set 13)
This set of FAQs addresses expatriate group health insurance coverage.
April 23, 2013
Affordable Care Act Implementation FAQs (Set 14)
This set of FAQs addresses the Summary of Benefits and Coverage requirements of PHS Act §2715.
April 29, 2013
Affordable Care Act Implementation FAQs (Set 15)
This set of FAQs addresses various ACA implementation topics.

Consumer Support and Information

Consumer Assistance Program Grants

Fact Sheets

November 21, 2011
State Consumer Assistance Program Participation in Exchange Core Area 10
June 22, 2012
New Funding Opportunity for Consumer Assistance Programs
August 24, 2012
Consumer Assistance Program Grants: Helping States Give Consumers Greater Control of their Health Care
August 24, 2012
Consumer Assistance Program Grants: How States Are Using New Resource to Give Consumers Greater Control of their Health Care

FAQs

April 20, 2012
CAP Limited Competition Funding Opportunity Announcement
June 7, 2012
New Consumer Assistance Programs Funding Opportunity for all States and Territories

External Appeals

Fact Sheets

June 22, 2011
Affordable Care Act: Working with States to Protect Consumers
March 9, 2012
2012 County Data for Culturally and Linguistically Appropriate Services
This Fact Sheet provides data so that group health plans and health insurance issuers offering non-grandfathered health coverage can determine the counties in which they are required to provide notices related to a consumer’s right to external review in a culturally and linguistically appropriate manner.
June 19, 2012
HHS-Administered Federal External Review Process
July 10, 2011
External Appeals: Determinations of External Appeals Review Processes

Summary of Benefits and Coverage and Uniform Glossary

Fact Sheets

This Fact Sheet provides data so that group health plans and health insurance issuers offering health coverage can determine the counties in which they are required to provide the summary of benefits and coverage in a culturally and linguistically appropriate manner.

Outreach and Education Resources

September 29, 2011

Consumer Fact Sheets

- Adding Adult Children to Your Health Plan (PDF – English 178 KB, Spanish 89 KB)
- Curbing Insurance Cancellations (PDF – English 170 KB, Spanish 63 KB)
- Eliminating Dollar Limits on Your Benefits (PDF – English 184 KB, Spanish 104 KB)
- Getting Value for Your Premium Dollar (PDF – English 172 KB, Spanish 104 KB)
- Lowering Your Cost for Preventive Services (PDF – English 353 KB, Spanish 111 KB)
- Protecting Children With Pre-Existing Health Conditions (PDF – English 252 KB, Spanish 450 KB)
- Protecting Your Choice of Health Care Providers (PDF – English 219 KB, Spanish 94 KB)
- Are You in a Grandfathered Health Plan (PDF – English 307 KB, Spanish 57 KB)
- Putting the Brakes on Unreasonable Health Insurance Rate Increases (PDF - English 77 KB, Spanish 63 KB)
April 7, 2011