What is the difference between a grandfathered and grandmothered health plan? | Patriot Plans
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Health Insurance Basics

What is the difference between a grandfathered and grandmothered health plan?

A grandfathered plan existed before the ACA (March 23, 2010) and has not made significant changes. A grandmothered plan (also called a transitional plan) was created after the ACA was enacted but before January 1, 2014, and was allowed to continue under a CMS transitional policy. Both types are exempt from some ACA requirements.

Key Points

  • Grandfathered: existed before ACA (March 23, 2010)
  • Grandmothered: created after ACA but before January 1, 2014
  • Both exempt from some ACA requirements
  • Most grandfathered and grandmothered plans have lost their status
  • An independent agent can help you understand your plan's status