What is a health insurance grandfathered plan? | Patriot Plans
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Health Insurance Basics

What is a health insurance grandfathered plan?

A grandfathered health insurance plan is a plan that was in existence before the ACA was enacted (March 23, 2010) and has not made significant changes since then. Grandfathered plans are exempt from some ACA requirements, such as covering preventive care at no cost and providing an external appeals process.

Key Points

  • Grandfathered plan: existed before ACA (March 23, 2010) with no significant changes
  • Exempt from some ACA requirements
  • May not cover preventive care at no cost
  • May not provide external appeals process
  • Most grandfathered plans have lost their status due to changes