–Health plans must charge the same rates for a plan whether offered in or out of the Exchange, directly by the Insurer or through agents.
–Essential health benefits are defined and must be offered by each plan.
–There must be balance between the benefits, and an insurer cannot discriminate against individuals because of their age, disability, or expected length of life.
–Emergency services are covered without regard to networks.
–In the group market, individuals cannot have more than a $2000 deductible, and $4000 for more than one person covered.
–Some individuals less than 30 and those without affordable coverage may be allowed to have a higher deductible.
–Bronze level covers 60%, Silver level 70%, Gold 80% and Platinum 90%.
–Abortions vsnnot be funded by federal funds; there has to be at least one plan in each Exchange that include coverage for abortions and at least one plan which excludes coverage for abortions.