Does ACA Cover Tonsillectomy and Eye Infections?

In this blog, we’re going to discuss whether or not the Affordable Care Act (ACA) covers tonsillectomy and eye infections. We’ll also provide some tips on how to find affordable health insurance if you need these services.

What is the ACA?

The ACA is a health insurance reform law that was passed in 2010. The ACA has made health insurance more affordable and accessible for millions of Americans. One of the key provisions of the ACA is that it requires all health insurance plans to cover a set of essential health benefits (EHBs).

What are EHBs?

EHBs are a set of ten essential health benefits that all health insurance plans must cover. These benefits include:

Ambulatory patient services
Emergency services
Hospitalization
Maternity and newborn care
Mental health and substance use disorder services
Pediatric services, including dental and vision care
Preventive and wellness services and chronic disease management
Prescription drugs
Rehabilitative and habilitative services and devices
Laboratory services

Does the ACA cover tonsillectomy and eye infections?

Tonsillectomy and eye infections are both covered by the ACA. Tonsillectomy is a surgical procedure to remove the tonsils. Eye infections can be caused by a variety of factors, including bacteria, viruses, and fungi.

How to find affordable health insurance

If you need tonsillectomy or eye infection treatment, there are a few things you can do to find affordable health insurance.

Shop around. There are many different health insurance plans available, so it’s important to shop around to find the plan that’s right for you. You can compare plans online or through a licensed agent.
Consider a high-deductible health plan (HDHP). HDHPs have lower monthly premiums, but they also have higher deductibles. This means that you’ll have to pay more out of pocket for medical expenses before your insurance starts to cover them. However, if you’re healthy and don’t expect to have a lot of medical expenses, an HDHP could be a good option for you.
Get help from a licensed agent. A licensed agent can help you find the right health insurance plan for your needs and budget.

If you’re struggling to afford health insurance, there are a few programs that can help.

Medicaid. Medicaid is a government health insurance program for low-income individuals and families.
CHIP. CHIP is a government health insurance program for children from low-income families.
Subsidies. The ACA provides subsidies to help low- and moderate-income individuals and families afford health insurance.

If you’re not sure if you qualify for any of these programs, you can contact your state’s Medicaid agency or visit HealthCare.gov.

Conclusion

The ACA covers tonsillectomy and eye infections. If you need these services, there are a few things you can do to find affordable health insurance. Shop around, consider a high-deductible health plan, and get help from a licensed agent. If you’re struggling to afford health insurance, there are a few programs that can help.