Which Medicare Programs Are Covered By Aca Section 1557? Understanding The Reach Of ACA Section 1557

Which Medicare Programs Are Covered By Aca Section 1557?

Explore the coverage of Medicare programs under ACA Section 1557, encompassing Medicare Part A, Part C, and Part D.

Learn how this section of the Affordable Care Act ensures protection against discrimination and denial of health services, with insights into enforcement, applicability, and consequences of violations.

Discover the importance of finding Medicare doctors adhering to Section 1557 guidelines for a personalized and value-based healthcare experience.

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ACA Section 1557 extends its coverage to Medicare programs, specifically encompassing Medicare Part A, Medicare Part C, and Medicare Part D.

However, it excludes Medicare Part B as it does not receive federal financial assistance from the U.S. Department of Health and Human Services.

Understanding ACA Section 1557

Effective nationwide since 2016 as part of the Affordable Care Act, Section 1557 prohibits discrimination and denial of access to health services based on race, color, national origin, sex, age, or disability.

This prohibition applies to health programs and activities receiving federal financial assistance or administered by an Executive agency or entities under Title I of the Affordable Care Act.

Also Read: What Is The Difference Between Medicare Advantage And Medicare Supplement?

Which Medicare Programs Are Covered By Aca Section 1557?

An infographic on Coverage under ACA Section 1557
An infographic on Coverage under ACA Section 1557

Section 1557 applies to health services funded by the U.S. Department of Health and Human Services (HHS) and any program or activity administered by HHS.

Section 1557 guidelines mandate that health insurance marketplaces and the associated plans adhere to them.

Enforcement by HHS Office for Civil Rights (OCR)

Enforcement of ACA Section 1557 falls under the jurisdiction of the HHS Office for Civil Rights (OCR).

This office investigates reports and complaints regarding Section 1557 violations, ensuring compliance with anti-discrimination provisions.

Consequences of Violating Section 1557

Violations of Section 1557 may result in the suspension or termination of federal financial funding from HHS for the healthcare program involved.

Physicians found in violation may face compensatory damages and potential legal action from individuals subjected to discriminatory practices.

Also Read: What Eye Doctor Takes Molina Insurance? A Practical and Informative Guide

Finding a Medicare Doctor Under Section 1557

Utilize the Find Your Doctor tool to locate a Medicare doctor adhering to Section 1557 guidelines and practicing value-based care.

Value-based care prioritizes patients, offering a personalized approach to treatment with shorter wait times, efficient appointment scheduling, and a meaningful connection with a caring physician dedicated to improving your health.

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