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Does the ACA include new rules about insurance premiums?

Yes, premiums may vary based on a person's age, the area of the state in which the policy is sold, tobacco use, and family composition. Under the ACA, these are the only factors that an insurance company can use when they set premiums. Insurance companies can't refuse to insure or charge higher premiums to consumers with medical problems. The ACA also reduces the difference in premiums charged for younger and older people and eliminates differences between premiums charged for men and women. Health plans in the individual and small employer markets must, under the ACA, cover certain services.

To help make coverage affordable, many consumers who buy health insurance in the individual market will be eligible for premium tax credits, and consumers under age 30 or who can't afford coverage may be eligible to buy catastrophic plans, which cost less.

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