The young people can be on their parents' insurance to age 26 even if not in school. This helps lots of my patients get their care.
The biggest change we are seeing is the coverage for preventive services. All qualified health plans must now cover, with no cost-sharing, the recommendations of the USPSTF for preventive services, including immunizations and screenings.
Now I see a lot of patients who come for 'annual and Pap' but actually have significant problems that they've been saving to discuss. If it's a strictly preventive service, there's no copay, no deductible. If we discuss, evaluate, treat issues, then that's a problem visit and they do have to 'cost-share' the visit.
This is taking a lot of education of patients and staff (and me!)
