What is the Same

Existing Medical Assistance (MA) Programs

There are some changes that happened in Medical Assistance (MA), but they are changes that expanded coverage to more people, and did not take it away from anyone. You can read more about the changes later in this article.

If you were on MA before the ACA, you are able to keep the coverage and benefits that you already had.

Existing Medicare Programs

If you were on Medicare before health care reform, your coverage didn't change. Your benefits have stayed the same, whether you are on Original Medicare or Medicare Advantage.

The Affordable Care Act (ACA) did make some small changes to Medicare. You can read more about these changes later in this article.

Employer-Based Coverage

Under the ACA, most employers are required to provide coverage or pay a fine if they don’t (small businesses with fewer than 50 employees won’t have to pay a fine).

In general, you will be able to keep your employer-based coverage as long as your employer chooses to keep offering it. Just like before health care reform, most Americans still get their health coverage through an employer.

However, if your employer decides to stop offering coverage, there are other options not based on your job, such as MNsure.

For more information on employer-based coverage, read the DB101 article on Employer-Sponsored Coverage.