Thursday, Oct 15, 2020
Has access to health care for people with preexisting conditions worsened since the passage of the Affordable Care Act?
Under the Affordable Care Act, health-insurance companies cannot refuse to cover patients with preexisting conditions or charge them more for coverage. From 2013 to 2015, 16.5 million non-elderly adults gained coverage; of these, 2.6 million had pre-existing conditions.
Before the law was passed in 2010, insurers could charge higher premiums, limit benefits or deny coverage to those with pre-existing conditions. In early 2010, 19% of individual insurance applications were denied, most often for health reasons. The ACA incorporated earlier limited protections for some patients with preexisting conditions, while broadening protection across the population.
This fact brief is responsive to conversations such as this one.
Sources
- Department of Health and Human Services: Pre-existing conditions
- Commonwealth Fund: Access to coverage and care for people with preexisting conditions under the ACA
- Department of Health and Human Services: Coverage for Americans with pre-existing conditions—the impact of the ACA
- Health Affairs: What it means to cover preexisting conditions
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Fact briefs are bite-sized, well-sourced explanations that offer clear "yes" or "no" answers to questions, confusions, and unsupported claims circulating online. They rely on publicly available data and documents, often from the original source. Fact briefs are written and published by newsrooms in the Gigafact network.
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Between 2020 and 2022, under close editorial supervision, Gigafact contracted a group of freelance writers and editors to test the concepts for fact briefs and provide inputs to our software development process. We call this effort Gigafact Foundry. Over the course of these two years, Gigafact Foundry writers published over 1500 fact briefs in response to claims they found online. Their important work forms the basis of Gigafact formats and editorial guidelines, and is available to the public on Gigafact.org. Readers should be aware that while there is still a lot of relevant information to be found, not all fact briefs produced by Gigafact Foundry reflect Gigafact's current methods and standards for fact briefs. If you come across any that you feel are out of date and need to be looked at with fresh eyes, don't hesitate to contact us at support@gigafact.org.
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