With increasing numbers of medical conditions and rising insurance rates, many Americans are struggling to find quality public or private medical insurance to keep them safe and sound. After the Affordable Care Act (ACA) was passed in 2010, many citizens were expecting to finally be able to qualify for Medicaid coverage. The specifics of Obamacare were meant to line up and make this historic option available. What ensued, however, was what many perceive to be a major failure for the ACA.

As a quality provider of alternative health care to Arizona, Texas, and more, our organization is dedicated to delivering comprehensive solutions to those residents who are not covered by the ACA. As an experienced provider of independent insurance, ACA Alternatives is here to help you find the assistance you need to keep control of your health and thrive in the process. Today, we’ll begin to explain the coverage gap left by Obamacare and the healthcare solutions needed to amend it.

Creating a Gap

The coverage gap is one concept that may sound familiar but doesn’t quite make sense. It can be likened to the housing bubble or the fiscal cliff in that you are not going to find anything tangible to grasp, yet the evidence and data that results make the issue all-too real. The coverage gap began due to the structuring of the ACA, which was intended to offer expanded coverage to low-income individuals with the idea of utilizing premium tax credits for coverage in our marketplace. The plan relied on expanded Medicaid coverage to assist those who were below the poverty line. A key factor here is that national coverage was expected to be in place, making Medicaid available for more individuals nationwide. This expectation was sent before the Supreme Court to decide on the efficacy of the overall impact on society.

Supreme Court Rulings

In 2012, the Supreme Court was tasked with deciding on the constitutionality of federally regulated commerce between the states, mainly the shared financial responsibility for medical coverage for individuals. With a narrow margin (5-4), the court decided that the ACA plan was constitutional. The deciding factor came from the nomenclature for fining people for not obtaining coverage. As our previous blogs have discussed, people who received this fine were made to feel that it was mandatory to seek coverage. The ruling decided that those who did not have coverage where assessed a tax, as the Feds cannot intervene in marketplace commerce. One offset of this decision, though, was the ruling that the expansion of Medicaid was optional for each state. The complex plan for Obamacare was starting to suffer one of many key setbacks.

Facing constitutionality issues can vastly change the landscape of our insurance coverages nationwide. Next time, we’ll continue to look at the starting point of the coverage gap, as well as what it entails for single adults who do cannot afford coverage. ACA Alternatives is here to provide quality coverage for those who were left uncovered by Obamacare. Our experienced agents work to tailor a plan that aims to meet your specific needs. If you and your family are in need of private medical insurance that is both comprehensive and affordable, be sure to contact us today!