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The limit on lifetime and annual caps only applies to "essential health benefits" which gives insurance companies the ability to deny first and force the insure
by mmcconnell1618 5y ago
The limit on lifetime and annual caps only applies to "essential health benefits" which gives insurance companies the ability to deny first and force the insured to fight to get payment. Grandfathered legacy policies are also allowed to maintain lifetime bans.
https://www.hhs.gov/healthcare/about-the-aca/benefit-limits/index.html https://www.hhs.gov/healthcare/about-the-aca/benefit-limits/...
- refurb 5y agoPretty much anyone with ACA insurance (through employer or exchanges) does NOT have a grandfathered plan. They are an exception and usually tied to exempt plans through unions, etc.