Affordable Care Act (ACA)

Also called: ACA, Obamacare

The Affordable Care Act is the federal health-reform law that, among many other things, guarantees your right to appeal a denial internally and to an outside reviewer. It also bans coverage refusals based on pre-existing conditions and requires most plans to cover a core set of essential health benefits. Many of the appeal rights people rely on when fighting a denial come from this law.

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Disclaimer: This definition is provided for general educational purposes only and is not legal, medical, or insurance advice. Insurance rules, deadlines, and terminology vary by plan, state, and over time. Always check your own plan documents and confirm current details before acting.