'Bare bones' insurance policies really only work for people who are healthy [View all]
By Lenny Bernstein and Paige Winfield Cunningham July 15 at 4:29 PM
Before the Affordable Care Act, insurance companies could offer any combination of benefits in most states and legally call them a health insurance policy. A huge deductible? Coverage for only one night of hospitalization? Nothing for maternity care, mental health or medication?
If consumers were willing to buy such bare bones plans and some people did, usually at very low prices those policies were considered health insurance coverage.
If they sold you a policy that covered [only] a toothbrush, that qualified, said Karen Pollitz, senior fellow at the Kaiser Family Foundation.
The ACA did away with that, mainly by requiring that all health plans on the individual and small-group market include certain essential benefits for everyone: prescription drugs, lab services, even maternity care, to name a few.
Now Texas Sen. Ted Cruz (R) wants to again allow insurers to sell whatever bare-bones coverage they desire and consumers to purchase it. To qualify, insurers would just have to offer one plan that complies with the ACAs comprehensive benefits standard.
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