What is the Same

Existing AHCCCS Programs

There are some changes that happened in AHCCCS (AHCCCS), 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 to AHCCCS later in this article.

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

Home and Community-Based Services

In Arizona, AHCCCS has programs that allow people with disabilities who need a certain level of care to get that care at home, instead of in an institution. You, as the consumer, have the right to select and train attendants that meet your personal needs and preferences. You have the right to dismiss your attendant if you are not happy with the care you are receiving. You can also choose a family member to provide these services (except a spouse or legal guardian).

Community-based services include:

  • Attendant services to support the activities of daily living
  • Safety monitoring
  • Assistance with learning skills to accomplish activities of daily living more independently
  • Training in how to choose, manage, and dismiss attendants

AHCCCS continues to offer home and community-based services (HCBS). To learn more about home and community-based services, read the DB101 article on AHCCCS for People with Disabilities.

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 Healthcare.gov.

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