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Expanding Medicaid Will Benefit Both Low-Income Women and Their Babies


For SC Appleseed and our partners in South Carolina, this is yet another example of how accepting the federal dollars for Medicaid support would not only help close gaps in the health coverage, but could be a critical game changer for countless low-income South Carolinians.

According to a study by the Center on Budget and Policy Priority, nearly 6 million women between the ages of 19-44 who do not have insurance could gain health coverage if all states expand their Medicaid programs in 2014 under health reform.

When women have health coverage before becoming pregnant as well as between pregnancies, they are healthier during pregnancy and their babies are more likely to be healthy at birth, research shows. Yet today, millions of low-income women do not have access to continuous health coverage. Instead, under current eligibility rules, many women become eligible for Medicaid only when they become pregnant, and then lose that coverage soon after giving birth.

The Medicaid expansion is therefore a vital opportunity for states to close gaps in the health coverage  of low-income women, many of whom can only gain coverage when they are pregnant under current  eligibility rules. Ensuring continuous coverage would improve the health of women and their babies,  which would lower Medicaid costs related to delivery and postnatal care. Read the full report here.

The Frye Foundation 5K Run/Walk

The Frye Foundation 5K Run/Walk

The Frye Foundation 5K Run/Walk… October 6th and November 10th at 8:30am.

Each event is $15 and you can register online at www.StrictlyRunning.com or ON-SITE on race day October 6th and November 10th.

The event will be held at Memorial Stadium/Owens Field Track located:
1351 Jim Hamilton Boulevard
Columbia, SC 29205

Clear health care information is now available for millions of Americans

This was released earlier this week by U.S. Department of Health & Human Services: 

Health care law ensures consumers get clear, consistent information about health coverage 

Because of the health care law, millions of Americans will have access to standardized, easy-to-understand information about health plan benefits and coverage. Insurance companies and employers are now required to provide consumers in the private health insurance market with a brief summary of what a health insurance policy or employer plan covers, called a Summary of Benefits and Coverage (SBC). Additionally, consumers will have access to a Uniform Glossary that defines insurance and medical terms in standard, consumer-friendly terms.

These tools will also assist employers in finding the best coverage for their business and employees.

“Thanks to the health care law, Americans will now get clear, consistent and comparable information when shopping for health coverage,” said Health and Human Services (HHS) Secretary Kathleen Sebelius. “These new tools empower consumers to make informed decisions about their health coverage options and to choose the plan that is best for them, their families, and their business.”

The SBC includes a new comparison tool, called Coverage Examples, which is modeled on the Nutrition Facts label required for packaged food, that helps consumers compare coverage options by showing a standardized sample of what each health plan will cover for two common medical situations—having a baby and managing type 2 diabetes.

The SBC will include information about the covered health benefits, out-of-pocket costs, and the network of providers. The glossary defines terms commonly used in the health insurance market, such as “deductible” and “co-pay,” using clear language.

Before today, people often lacked uniform and comparable information when shopping for coverage, often relying only on marketing materials to make decisions. Starting this fall, consumers will receive the SBC free of charge and in writing from the consumers’ insurance company or employer. This information can be requested at any time, but it will also be made available when shopping for, enrolling in or renewing coverage. It will also be provided whenever information in the SBC changes significantly.

The SBC will be available beginning today for consumers in the individual health insurance market. For enrollees in group health plans enrolling during an open enrollment period, it will be available during the next open enrollment period that starts on or after Sept. 23, 2012. For enrollees who enroll outside of an open enrollment period, it will be available at the start of the next plan year that begins on or after Sept. 23, 2012.

The SBC and Glossary were developed in collaboration with the Department of Labor, Department of Treasury, consumer groups, the insurance industry, State Insurance Commissioners, and other stakeholders.

For more information on this announcement, please visit: http://www.healthcare.gov/law/features/rights/sbc/index.html

For a sample SBC, please see: http://cciio.cms.gov/resources/files/sbc-sample.pdf

For the SBC template, please visit: http://cciio.cms.gov/resources/files/sbc-template.pdf

For the Uniform Glossary, please visit: http://cciio.cms.gov/resources/files/Files2/02102012/uniform-glossary-final.pdf


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